Distributor Application

Type of Form: *

Describe your field here.

Company Name: *

Person to Contact:

Phone Number:

Contact Email: *

Company Address: *

Billing Address:

City/State/Zip Code *

Country: *

Company Website: *

E.g. www.syntrax.com

What year was your company established:

In which countries do you currently distribute?

Number of Sales Representatives:

1-5

6-10

11-20

20+

Do you have your own brand?

No

Yes

Sales History:

Gross sales current year / last year / 2 years ago.

Do you currently purchase directly from any other US manufacturers?

No

Yes

How many active accounts do you currently sell to?

What sectors of the market do you focus on?

Bodybuilding

Sports/Athletes

Health and Wellness/Medical

Sports Nutrition

Please share what tariff rates/import duties you are charged on importing food & beverages?

Add International Sales Tax% and VAT Tax Rate %.

Please estimate your sales for the first year of business:

syntrax distributor application