If you're interested in becoming an officially licensed Syntrax Distributor please fill out the following form.
Address:
Telephone:
Person to Contact:
Email:
Company Information:
Number of Employees:
Number of Sales Representatives:
Sales History:
Do you have your own brand?
If you selected "Yes" above, please provide brand name, website, and percentage of gross sales for the past 4 years:
Do you currently purchase directly from any other US manufacturers?
If you selected "Yes" above, please list each manufacturer and the percentage of business each one represents:
How many active accounts to you currently sell to?
Can you please share what tariff rates/import duties you are charged on importing supplements?
Which products are you interested in importing?
Sales Projections:
Please calculate your sales for the first year of business and attach supportive material below.
Official Shipping Address:
Official Billing Address:
Please indicate which documents are required for registration and for each shipment:
If there are any other attachements you would like to send please use the attachment boxes below.