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Your Application to Join NetPlus Alliance

This page enables  you to submit the information we need to process your distributor application. Please follow the instructions on this page and fill out the form as completely as possible. If you prefer, you may print our distributor application, fill it out and fax it in to our office.

 

We will use your profile information, aggregated with profile data from our other members, to demonstrate the extent of our market to potential suppliers, and to measure the success of our existing programs. We may also use your profile information to help identify suppliers who will be most advantageous to your company. However, specific information about your company will not be shared with our suppliers or any other organizations.

 

 

Your Company:

Business Focus:

Example: tool room supplies, contractor supplies
   

Website Address:

Country:

Date Founded:

   

Example: 1/1/2001

Number of Employees:

    

Company Annual Sales:

 $ 

Please enter numbers only - no commas or other characters

Gross Margin Percent:

      % 

Please enter numbers only - no commas or other characters

Total Inventory Amount:

 $

Approximate dollar value of product in stock. Please enter numbers only - no commas or other characters

Total # of Locations:

   

Please check if your company is:

Minority owned:

Women owned:

Please check if you are currently a member of any other buying or marketing group; please list them below.

  

Other groups:

Trade Associations:

example: ISA, STAFDA, PTDA, ASA, etc.
     

Contact Information

Please identify the key personnel within your organization who need to be kept informed about NetPlus Alliance.
 

First Name

Last Name

NetPlus Primary Contact:

Title:

E-mail Address:

President:

E-mail Address:

Marketing Manager:

E-mail Address:

Sales Manager:

E-mail Address:

Headquarters Location

After submitting this form you will have an opportunity to identify additional locations.

Your Mailing Address:

Street/PO Box

Zip / Postal Code

Your Shipping Address:

If different from above.

Street Address

Zip / Postal Code

 

City

State/Province

Phone Number:

Example: 999-999-9999

Fax Number:

Example: 999-999-9999

By clicking on the "apply" button below, you are acknowledging:

  • Your intention to join NetPlus Alliance

  • The one-time application fee of $500

  • Your intention to support the products, programs, and promotions of the suppliers of NetPlus Alliance whenever possible

Your Name:

Your Title:

Your E-Mail Address: