Application for Prospective Distributors

Name

First Name

Last Name

Company Name

Location

(City, State, Country)

Do you have a physical store with regular business hours?

Website

http://

Instagram

Other relevant link

http://

Have you used Aqua-Resin before?

Why are you interested in becoming a distributor?

Are you able to accept freight shipments, and do you have a dedicated area for product storage?

Is there anything else you'd like us to know?

Thank you for your interest in becoming an Aqua-Resin distributor! We will respond to your application as soon as we are able.

Please note:
-Distributor agreements will include a minimum order quantity.
-For legal and safety reasons, we do not allow repackaging of our products.
-Distributors outside the continental US will be responsible for all customs, duties, and import obligations.