Become an Exclusive Distributor

Become an Exclusive Distributor / Dealer of Ipax

Dealer

Full Name *

Phone *

E-mail *

Company Address *

City *

State / Province *

ZIP / Postal Code *

Years Company has been in business *

Number of salesman in the business *

General geographical area covered

How many customers in the area are currently being served

Estimated sales in company

Industries *

Transportation

Industrial

Institutional and Hospitality Cleaning - Janitorial

Energy Sector - Oil Industry

Average size square footage of each serviced company

Does business participate and has it been awarded bids last 3 years

Storage

Blending Capabilities

How do you heard about Ipax?

Interested in Private Labeling? *

Interested in parts washing services? *

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