New Distributor Form

For The Cool A/C Service Professional!

Homepage

NEW DISTRIBUTOR INFORMATION

Please complete this form for more information on how to become a CoolPro Stocking Distributor. A CoolPro representative will contact you within 1 business day.

Company Name: *
Your Name: *
Title:
Address: *
City: *
State: *
Zip Code: *
Country: *
Phone: *
Fax:
Email Address: *
Web Site:

What is the nature of your business? (Check all that apply)
General Repair Facility
A/C Specialist
Warehouse Distributor
Jobbing Store
Dealership
Buying Group
Mass Merchandiser
Other (please explain):

How many years have you been in business? *	Years
What are you monthly purchases in US dollars for a/c components? *	$
Who do you currently buy a/c components from? *
What types or brands of a/c components do you currently carry? *
Additional comments:

Thank you for filling out this form. Someone will be contacting you shortly.

© CoolPro Climate Control Products. All Rights Reserved. All content is copyright and may not be used without written consent.	Home Page - Site Policy