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Distributor Request Form

CONFIDENTIALITY NOTICE

All information submitted via this form will be treated confidentially.
Once your application has been reviewed, you will receive an NDA (Non Disclosure Agreement) to be signed before initiating any conversations about a potential collaboration. 
Please ensure your personal and company information is accurate as it will be used for all documentation such as the NDA and contracts.

Your submission includes the following:

Contact and Company Information. This information will be used to prepare an NDA agreement.

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Local Market Research. The terms and distribution requirements vary by geographic area.

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Launch Plan Questionnaire and SWOT analysis. In order to develop a customized business plan with you, we have to know your strategic approach and capacity for distribution.