Distributor Application: Remote Restraint Products - Part 1
Please complete all questions. Incomplete applications will not be processed.

For international distributor applications, Part 2 of our distributor assessment process is to apply for a Commerce export license to ensure we can do business outside the United States with your company and in your country.

After completing this form (Part 1), please lookout for an email with an attached BIS 711 form (Part 2). Complete the form, sign blocks 6 & 7, and return to us so we can apply for the export license.
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Number of Years in Business *
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Number of Sales Employees *
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Total Employees *
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Annual Sales *
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Are you registered with the Dept. of Commerce? (If the answer is yes, please provide proof by replying to the email you will receive upon completion of this form.) *
Which states or countries do you currently sell law enforcement products today? (Please provide your region(s) of sales.) *
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Please list the top 15 products your company currently sells: *
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If you carry less-lethal products, please list the suppliers below:
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If you are an International Distributor and you currently hold any military contracts or national contracts, please list the states and products held on state contract below: (This question applies to International Distributors only.)
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Please provide a minimum of 5 municipal, national, federal, or military client references below
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2. Agency Name *
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3. Agency Name *
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4. Agency Name
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5. Agency Name
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