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Distributor Request Form

Application Information Below:

This is a request for International Distributor

Personal Information

Contact Name: (required)

Title: (required)

Your Email: (required)

Telephone: (required)

COMPANY INFORMATION

Company: (required)

Telephone: (required)

Address: (required)

Your Email (required)

Website

Year Company Established?:

How many years distributing sport supplements?:

Are you an International (Non USA) or Domestic (USA) Distributor?:

Number of employees:?

Number of Sales Representatives?:

Gross Sales for 2017:

Gross Sales for 2018:

Gross Sales for 2019:

Gross Sales for 2020:

Gross Sales for 2021:

Do you have your own brand?

If yes, provide brand name, website and percentage of Gross Sales for years mentioned:

Will you sell SAN products to your existing customers?:

Will you hire or appoint a marketing manager for our products?:

Do you buy directly from US brands?:

If yes, tell us who and what % of your business do they represent:

What marketing methods do you use to market your products?:

How many 'active' wholesale accounts do you sell to?:

What sectors of the market are you currently targeting?:

What sectors of the market will you be targeting?:

Detail tariff rates / import duties you are charged on sport supplements:

Specify international sales tax and VAT tax rates:

What measures will you take to protect price integrity?:

Do you buy directly from US brands?:

Which SAN products are you interested in?:

Registration and Licensing

Provide information relevant to the registration process, associated cost and timeframe for the registration and legalization for each product and/or the brand.:

SAN expects to retain ownership / title to registration number / ID / protocol issued for the legal importation of said products. Explain how this would work.:

Please calculate 1st year sales (use an excel spreadsheet) and supply supportive rationale as an attachment to this form:

Ordering Logistics

Ports to be used - Pick Up:

Ports to be used - Delivery:

Payment Information

Name:

Title:

Email:

Phone:

Ship To Information

Name:

Address:

City / State / Province:

Country:

Phone:

Email:

Is a Certificate of Insurance required with each shipment?:

Freight Forwarder Information

Name of Contact:

Address:

Email:

Website:

Documents

Please indicate which documents are required with each shipment:

Please list all countries where you are requesting distribution rights:

Kindly provide any electronic sales / marketing brochures from your company:

Additoinal information

Document Upload:

Document Upload #2:

Other Comments or Questions?: Dear Sir/Madam

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