Become A Distributor

Helping Us To Help You

Fill out the form below to apply to become a distributor of Odiz products.

    COMPANY INFORMATION

    Company Name

    Primary Address

    Primary City

    Primary State

    Primary Zip Code

    Primary Phone

    Company website

    PRIMARY CONTACT

    Contact Name

    Contact Title

    Contact Phone

    Contact Email

    MARKET INFORMATION

    Your Estimated Industry Distribution Type (add to equal 100%)
    Education

    Manufacturing

    Government

    Raw Material Producers

    Energy or Utility

    # of inside sales

    # of outside sales

    Territory Coverage (states)

    Shows & Events You Attend

    Do you have a demo floor?
    YesNo

    # of brands currently distributing

    List of brands currently distributing for

    Can you perform on-site inspection audits?
    YesNo

    # of safety auditors