Eco-logical Concepts | Distributors On-boarding Portal

Please fill out the form and one of our representatives will contact you.

Serious inquiries only

Fields marked with an * are required

What is your company name? *

What is your company's address? *

Who is the contact person at your company? *

What types of services does your company offer? *

How many years has your business operated for? *

Approximately how much is your yearly sales volume? *

How did you hear about our company? *

Have you seen samples of our products? (Check if yes)

How many sales representatives do you have? *

What territory does your company cover? *

How would you like to work with us? (examples: regional distributor, industry distributor) *

How will you promote our products? (website, advertising, samples, etc) *

How will you educate yourself and your sales force about our products? *

Do you attend trade shows/conferences? If so, which ones? *

What kind of inventory will you keep? *

Will you provide your customers with literature and samples? *

If your company has a website please include it here:

This application was completed by? *

Contact email: *

Contact telephone number: *

Anti-Spam: What does 3 + 5 equal? *

Thank you for your submission.