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Become a Distributor
Company Name
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First
Address 1
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Street Address
Address 2
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Street Address
City
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Street Address
State
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Street Address
Postal Code
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Street Address
Country
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Street Address
Website
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Contact Person
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Title/Position
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Phone
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Email
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Start Year
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Gross Annual Sales
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Number of Employees
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Number of sales People
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Number of Owner(s)
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Please briefly describe your company
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What product manufacturers and/or brands do you represent today?
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Are you currently offering service and support for any products you sell?
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Are you currently selling air purifiers?
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Yes
No
Why are you interested in selling RxAir purifiers and filters?
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What channels are you selling thourgh today?
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Catalogue(S)
Webstore(S)
Direct Sales
Department Stores
Allergy Specialty Stores
Vacuum/Sewing Shops
Other
Do you have a physical retail space or showroom?
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Yes
No
What marketing activities have you carried out in the last year? (e.g., internet, trade shows, PR, TV advertising, in-store display if applicable, etc.)
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What resources will you allocate specifically to marketing RxAir products?
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How will you sell & market Rxair products so that your results are superior to your competitors?
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Please describe (in either dollars or percentage) the level of investment you are willing to make at this time to support sales and marketing of RxAir products.
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Please describe your background knowledge and experience (and/or that of you team) in both business and air purification.
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Please provide any additional information favorable to your application.
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Yes – I confirm that I am over 16 years old
