ERGOACTIVES DISTRIBUTOR & DROP-SHIP PROGRAM APPLICATION
Address Line 1:
Address Line 2:
Phone Number: Ext:
Provide a brief description of your company, how many years in the distribution business, and the types of products you currently distribute.
Provide a listing of markets, geographical areas and types of customers you currently sell to.
How does your company go to market (internet, personal selling face-to-face, phone sales, retail outlet, etc)?
Which Ergoactives product(s) do you want to buy and re-sell?
Who are your targeted customers?
□ I agree to follow Ergoactives instructions in regards to product descriptions, product images, and product placement/targeting.
□ I agree to sell Ergoactives products at the MSRP suggested by Ergoactives
□ I agree not to sell Ergoactives product line outside the website owned by our company.
□ I agree not to sell Ergoactives product line on the exclusive contracted websites by Ergoactives (Amazon.com, Amazon.ca, Amazon.mx, Walgreens.com, CommerceHub.com)
Authorized Signature X______________________ Date / /
Authorized Name X_______________________