HESHOUTANG Distributors application

Qingdao HESHOUTANG TCM Healthcare CO

+1(800)553-8037(English)
+1(800)893-5741(Spanish)

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Please fill out the following fields accurately with your information This is a preliminary application and contractually binds you and us in no way whatsoever
Company:
Designation:
Full Name:
Address 1 :
Address 2 :
City:
State:
Code/Zip:
Country:

If your application is successful the following area code and phone number would be the number displayed for the general public to contact you as a distributor for their area.
Phone:		Fax:
Email:		Msn:
Skype:		Yahoo:
Home Page :

Do you have previous sales experience?

Yes

How do you intend to resell our products?
Internet	Home Sales	TV Shopping	Retail (Your own stores)

Which size geographical area are you applying for?
Neighbour Hood (Zip area)	City	State*	Country*

Please specify geographical area named above

Which distributor status are you applying for?
Independent Distributor	Exclusive Distributor

* Please note: Country and State geographical regions will only be considered if the persons or businesses is fully able to effectively maintain the total region or area that is applied for!

Please give a brief description of yourself or your company, the product you interested and any other information you feel maybe relevant to this application in the box below

How do you find us?
1.	Google	Yahoo	MSN
2.	Blog	Forum	Facebook	Youtube
3.	Alibaba	Made-in-China	Tradekey
4.	TV	Radio	Magazines
5.If not included in the above outlined ways, please kindly fill in here:

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