Patriot Strapping Distributor Application
Patriot Strapping is looking for qualified Distributors to help share our products across the East Coast. We look forward to talking with you about our products and discussing a partnership with our company. Thank you for your interest in Patriot Strapping. We will review your application and contact you shortly.
Company Name:
Your answer
Address:
Your answer
City:
Your answer
State:
Your answer
Zip code:
Your answer
Phone Number:
Your answer
Fax Number:
Your answer
Main Contact:
Your answer
Main Contact Phone Number:
Your answer
Main Contant Email Address:
Your answer
Alternate Contact:
Your answer
Alternate Contact Phone Number:
Your answer
Alternate Contact Email Address:
Your answer
Referred By:
Your answer
What percentage of your business is related to Lumber?
What percentage of your business is related to Non-Lumber?
What type of products do you distribute?
Please check all that apply.
Does your business do tool sales and/or tool repair?
How long have you been in business?
Your answer
How long at the current address?
Your answer
Does your company have multiple locations?
Number of sales personnel?
Your answer
Principle geographic coverage?
Target Market Area?
Please define your trade area by state, regions or communities? Example: Local: Indianapolis. Regional: Southwest Indiana. Interstate: Indiana/Ohio.
Your answer
Please List other manufacturers whose products your company is authorized to sell:
Your answer
Please state any training, certifications, or professional licenses:
Your answer
Is your company an active member of any professional organization?
Please list below.
Your answer
Please list any other information that would be helpful for us to know about your business.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service