Partners Program

Partners Program

General company information
Legal Company Name (as submitted for tax reporting purposes)
Legal Name*
Other names by which your company is known as in business (Doing Business As)
Other Name
Corporate Headquarters
Address*
Suite/PO Box*
City*
ZIP/Postal Code*
Province/State*
Country*
Web Site*
Company Description
(Please provide a brief description of your company and core competencies) *
How many employees work for your company?
Employees
Do you currently purchase through Distribution? *
Yes No
Company sales data
What was your company's overall sales in the last completed fiscal year? *
Market segmentation
Please specify the geographical areas where your company does business
AFRICA
AMERICAS
ASIA/PACIFIC
EUROPE
MIDDLE EAST
UNITED STATES ONLY
What percent of your overall sales is sold to the following market segments?
Food * %
Beverages * %
Pharmaceuticals & medical products * %
Cosmetics & toiletries * %
Non food consumer products * %
Electrical & electronics * %
Cable, tubes & profiles * %
Plastic & rubber components (non extruded) * %
Automotive, vehicles & transport * %
Other * % Please Specify
Contact information
Application Submitted By (Person to be contacted regarding the program application)
First Name*
Last Name*
E-Mail*
Position/Department*
Address*
City*
ZIP/Postal Code*
Province/State*
Country*
Telephone*
Please enter text in image * Generate a new text

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