The Cleaning Station: The All-In-One Sanitizing System

Distributor Application

Thank you for your interest in Clean Holdings and The Cleaning Station. We are seeking well established distributors for a variety of markets. Distributors should exemplify a proven track record of successful sales and long term relationships with their customers. We offer various programs via generic and customized marketing collateral, email campaigns, photos and sales support for your company's training and selling efforts.

Our goal is to develop on-going relationships with motivated partners.

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Company Name *
Contact Name *
Title *
Phone Number *
Other Number
Fax Number
Email Address *
Website
Mailing Address *
City *
State *
Zip *
Country *
Other Contacts
How did you hear about us? *
Please list your sales territories *
Number of years in business
Number of employees on staff
Yearly sales revenue
Markets your company sells to
How many outside field reps?
How many inside field reps?
Does your company participate in trade shows? Yes No
If yes, please list trade shows
Types of advertising and/or marketing your company performs
Please list your suppliers or upload your line card below
Upload your line card
How many Cleaning Stations do you expect to sell in a 12 month period?
Any comments or questions?
What can we do to help you be successful?

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