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Thank you for your interest in becoming an authorized exclusive distributor in your country for AZZOTA products.

Fill the following form.

Finally, we will review your application and get back to you in 48 hours.

 

Business Name:
Contace Name::
Title::
E-mali::
MSN/Google Talk/Skype:
Address:
City:
States:
Zip:
Country:
Phone:
Fax:
Website:
Years in Business:
Annual Sales: US Dollar
Number of Employees:
Number of Inside/Outside Sales people:
What products are you carrying on (Such as Spectrophotometer, Microscope, ...) ?
Which company's products are you distributing now (Such as Agilent, PE, Thermo, ...) ?
What are the main Shows/Exhibitions in you area?
How much money do you spent on advertisment every year ?
US Dollar
How do you sell/market products? (Check all that apply)?
Catalogs Internet
Sales force Retail
Show/Exhibitions Other
Number of catalogs you mail and how often?
Do you service the products you sell?
How many service people do you have?
Do you market products that compete with the AZZOTA line:
Yes No

Comments / Questions