Brand Marketing Application
Submit your Brand or Product information you would like us to promote. Acceptance requires that your are a licensed Distributor and have exclusivity with the brands you represent. Select the promotional package that fits your request.
Company Name *
Your answer
Company Representative Name *
Your answer
Which Brand Package fits your needs. *
Required
How did you hear about us?
Your answer
Where you referred?
If yes, list the name of the company/brand/representative who referred you.
Your answer
I understand the above rules and requirements. By checking this box, I agree that I have exclusivity rights to my brand and/or product listed above. I also am within my legal right to distribute through the above mentioned company without cause of liability to Cocktail Fusion LLC, its affiliates, contractors, sponsors, or corporate partners. *
Required
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