Distributorships

About \ Distributorships

Become a distributor or bulk user of TPR² fire protective coatings, paints and primers. If you are accepted by TPR² Corporation as a distributor / bulk user, you will be entitled to purchase product from TPR², build a sales organization, and enjoy all the benefits of being a distributor.

Distributor / Bulk User Application Form

First Name:(required)

MI:

Last Name:(required)

Social Security:

Date of Birth:

Company Name:

Position:

Phone (required)

Fax

Email (required)

Mailing Address:

Mailing City:

Mailing State:

Mailing Zip Code:

Shipping Address:

Shipping City:

Shipping State:

Shipping Zip Code:

Referred By Name:

ID #:

Type of Distributorship:

Industry:

Years in business:

Years as current business:

Previous years gross sales:

Current coatings gross sales:

What TPR2 products is your company interested in?

Explain how TPR2 products fit your current portfolio / sales plan:

Number of active customers:

Expected annual sales of TPR2 products

Number of people to be trained on TPR2 products:

Number of TPR2 mailers that will be sent out initially:

Company FEIN (tax) number:

Reference Name (1):

Reference Address (1):

Reference Phone (1)

Reference Name (2):

Reference Address (2):

Reference Phone (2)

Reference Name (3):

Reference Address (3):

Reference Phone (3)

The undersigned hereby applies for becoming a Distributor of TPR² Corporation, and acknowledges that he/she::

1. Shall abide by and be subject to the terms and conditions of the Distributor Agreement set forth on the back of this Application and the Policies and Procedures of the Company which are incorporated herein by reference as they are now or may be amended;

2. Shall be entitled to purchase product from the Company, build a sales organization, and enjoy benefits available to all Distributors, in accordance to the Company's Distributor Agreement;

3. Understands that a Distributor does not receive any remuneration from sponsoring other Distributor but that any profits or bonuses will be earned only as a result of the sale of the product;

3. Must mail the original copy of this form and questionnaire back to the Company for processing and filing purposes after filling out this form accurately and completely. Distributor has received, read, understands, and agrees to be bound by the terms, conditions of this Agreement, all documents referred to herein, as such may be amended.

Acceptance Signature (required)
By clicking this box, TPR² Corp. is hereby granted the right to contact references herein above for the purpose of evaluating Distribution Applicant request for Distribution Agreement form TPR2 Corporation.

DEMILEC USA LLC

Gaco Western

J&R PRODUCTS INC.

JOHNS MANSVILLE

KAMCO SUPPLY CORP OF BOSTON

KEVIN DISTRIBUTING INC.

Distributorships

Distributor / Bulk User Application Form

The undersigned hereby applies for becoming a Distributor of TPR2 Corporation, and acknowledges that he/she::

The undersigned hereby applies for becoming a Distributor of TPR² Corporation, and acknowledges that he/she::