Become A Distributor

If you would like to become a Europro Distributor, please fill out the information below
(Be sure to include your e-mail address).
First Name:
Last Name:
Title:
Company:
Address:
City:
State/Province:
ZIP/Postal Code:
Country:
Your E-mail (required):
Telephone:
  Ext.
Fax:
Company Information
Business License#:
Resale License #:
Year established:
 Sales volume: 
Type of firm:
Retailer   Distributor   Agent
Catalog   Importer   Apple
Region served:
Markets serviced (check all that apply):
Spas/Health Resorts   Facial Salons
Facial Schools   Beauty Schools   Other
Do you have an outside sales force?
Yes  No    
Products offered:
Please list publications where you advertise:
Please list trade shows where you exhibit:
Do you publish a marketing newsletter?
Yes No
What other mailings do you do?
Please provide information on product lines you currently represent.
Company Name
Phone
Contact
Major Products Sold
Company Name
Phone
Contact
Major Products Sold

Company Name
Phone
Contact
Major Products Sold
Which Bio Jouvance products lines are of most interest?
Do you have customers who have requested Bio Jouvance's products?
Yes No
How would you promote product awareness and sales:
Advertising   Trade Shows
Presentation   Training  
How did you hear about Bio Jouvance?
Additional comments or questions:

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