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Contact Information

Contact Name*

Contact Email*

Website*

Company Name*

Street Address*

City*

State / Province

Zip Code*

Country*

Phone #*

Fax #

Distributor Information

History / Background

How long have you been in business?* Total Number of Sales Locations*

Personnel

Total Number of Employees (Including Principals)* Total Number of Outside Sales People* Total Number of Inside Sales People*

Management

Who is actively engaged in the management of your company? (Please provide names and titles)*

Warehousing

Total Number of Warehouses* Physical Size* How many product lines do you carry?* Number of Inventory Turns*

Current Manufacturer Lines Stocked

Please List Your Key Vendors / Manufacturers* Do any of your lines compete with Ripley's products?* Yes
No
If yes, which line(s)?

Territory Covered & Market Served

Geographical Territory Covered* Primary & Secondary Markets* Are you in favor of joint vendor's / manufacturer's sales visits to your customers?* Yes
No
How are your salespeople assigned?* Other
By Area
By Account
By Product
Types of Customers Concentrated On* Who are your major accounts?*

Additional Information

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Digital Signature*

I have read the privacy policy.*

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Become A Distributor

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