Apply to be a Reseller
Dear applicant. Thank you for the interest you show in our products. The information below is used for the validation and we will keep it strictly confidential.
Sign in to Google to save your progress. Learn more
Applicant's first and last name *
Applicant's email address *
What type of business relationship are you looking for with LaMetric? *
Required
Would you be selling through online or offline channels *
Does your company currently operate or supply any physical retail stores? If yes then how many? *
Company name *
How old is this business? *
Number of employees *
Which country is your primary sales territory? *
Do you intend to sell into other countries? *
Annual revenue *
Industry *
Required
Are you an authorized reseller for any of the following brands/products? Please check all that apply.
What are other primary brands your company sells? *
Describe your business (specialty shop, home decor, consumer electronics, etc.) *
Tell us about your typical customers *
Company website *
Where did you first see or find our product? *
Anything else you would like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LaMetric.

Does this form look suspicious? Report