UTI Newsletter - News, Updates, Tips, Trics and Special Offers
News, Updates, Special Offers! Sign Up Today!
Shop for BZT and OBT Products Online!
Buy UTI products safely and securely online through our shopping cart.
Sell BZT and OBT Products
Marketing programs that cater to diversity.

Distribution Application

Please fill out and submit this form if you are interested in pursuing business relations with United-Tech, Inc. Alternately, you can download the PDF version and submit by FAX to (918) 610-5225.

NOTE: Please complete all applicable information. Required fields are marked with *

1.

Company Name:

2.

Contact Name:

*

3.

Address:

*

City:

*

State/Province:

*

 

Country:

*

Zip/Post Code:

*

4.

Contact Information:

Phone

*

Fax

Email

 *

Web Site URL (if any)

5.

What are your primary fields of sales activity?

Hold down Ctrl Key to select
multiple choices.



If Other, explain:

6.

Form of Organization:

Sole Proprietorship
Partnership
Corporation/Limited Company

7.

Please list the types of products you manufacture, if any:

8.

Please list product lines and names of other companies you represent, including City/Country name and annual sales volume in US Dollars:

Product Line / Company

City & Country

Annual Sales Volume

Additional Product Lines:

9.

Total Number of Employees:

*

    # of Salespeople:

    Service/Staff/Technicians:

    Engineers:

    Ph.D.s:

    M.Sc.s:

    B.Sc.S:

    Specialists in-

  

        Wastewater Treatment:

        Aquaculture:

        Water Gardening:

        Water Body Restoration:

        Bioremediation:

        Other:

10.

Approximate company annual sales volume for past year (in US Dollars):

*

11.

Geographic sales territory:

*

12.

Sales forecast of UTI products during first twelve (12) months (US $ or units):

*

13.

Trade/Business References:

*

      Company Name

City/Country

Phone/Fax #s

     

     

     

14.

Does your company participate in trade shows?:

*

If Yes, which shows?

15.

How many people, of your staff, would you be willing to have available for training?

*

Distribution Application completed by:

 

Name:

*

Title:

*

Date:

*

Please note: We do not share your information with third parties. Read our Privacy Policy here.

spacer
Back to Top | Home