INTERNATIONAL DISTRIBUTOR APPLICATION
Please make sure to answer all the questions as accurately as possible in order for us to properly assess a potential distributorship with your company.		 powerbright

 

Name/Title:    

A) COMPANY & MARKET OVERVIEW


1) PROFILE :
 
Company Name:
Address:
City/Postal Code:
Mailing Address (if different from above) :
Country:
Phone:
Moblie:
Email Address :
Fax:
Web site address :

Names of Key Personnel :
Managing Director/General Manager:
Director of Marketing:
Director of Sales:
What year did your company begin operations? :
What geographic territory can you handle? :

2) Please provide a brief history of your firm:
 

3) Please check your type of business:
 
Agent
Distributor
Manufacturer
Other

4) For which imported products are you currently an authorized dealer:
 
Supplier Name
Product

Country of
Origin

Legth of time
represented
% of sales
Contract
Yes / No
Exclusive/
Non-Exclusive


B) POWERBRIGHT PRODUCTS


1) Check the product lines you are interested in distributing:
 
12 Volt Power Inverters
 
24 Volt Power Inverters
 
Pure Sine Wave Inverters
 
Voltage Transformers
 
Voltage Regulators
 
Plug Adapters
 
Battery Chargers
 
Surge Protectors
 

2) Project your anticipated consumer product purchase from PowerBright in the initial 3 year period:
  
Year 1 (US$)
Year 2 (US$)
Year 3 (US$)

 

 

Thank You! We will reply to you shortly.