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Become a DistributorX Reseller


How to Apply

If you are a reseller and would like to resell products distributed by DistributorX, simply complete the form below. Following the receipt of your application a DX representative will contact you to confirm the status of your account.

Before making your application, you should read the following documents:

DistributorX Online Terms and Conditions (PDF)
DistributorX Reseller Agreement (PDF)





Application Form: Page 1 of 2

* - compulsory field


Your Details - used to contact you regarding this application

Title

*First Name

*Surname

*Email

Position






Company Details

*Legal Company Name

DBA Name


Legal Corporate Address:
*Address 1

Address 2

*City

State

*ZIP Code


*Country

Other country (if applicable)

*Please note restrictions apply to sales of certain product ranges outside of the USA, Canada and Mexico.

Business Address (if different from above)


*Type of company



Owners Name(s) and home address(es) if not a corporation


Number of years trading

*Type of reseller (ASE, VAR, Retail etc)

*Telephone Number

*Fax Number

Website URL

Number of Employees

Annual Turnover

Estimated Monthly spend with DX





Company Contacts

President

President's Email

Finance Officer

Finance Officer's Email

Purchasing Contact

Purchasing Contact's Email

Accounts Payable Contact

Accounts Payable Contact's Email







You can also contact DistributorX with general enquiries on:

Telephone: +1 877 458 3414

Fax: +1 877 458 3415

Email - General: info@distributorx.com
Email - Sales: sales.na@distributorx.com
Email - Accounts: accounts@distributorx.com

Mailing Address:
DistributorX Inc.
4500 140th Avenue North
Suite 121
Clearwater, Florida
33762-3845