If you're interested in becoming an officially licensed Syntrax Distributor please fill out the following form.
Person to Contact:
Number of Employees:
Number of Sales Representatives:
Do you have your own brand?
If you selected "Yes" above, please provide brand name, website, and percentage of gross sales for the past 4 years:
Do you currently purchase directly from any other US manufacturers?
If you selected "Yes" above, please list each manufacturer and the percentage of business each one represents:
How many active accounts to you currently sell to?
Can you please share what tariff rates/import duties you are charged on importing supplements?
Which products are you interested in importing?
Please calculate your sales for the first year of business and attach supportive material below.
Official Shipping Address:
Official Billing Address:
Please indicate which documents are required for registration and for each shipment:
If there are any other attachements you would like to send please use the attachment boxes below.