DISTRIBUTOR REGISTRATION FORM
Thank you for your interest in becoming a distributor for Langlade Springs LLC. Please use this form to provide us background about you and your business. Once you complete and return it, our sales team will review your communication and follow up in a timely manner.
First Name*
Last Name*
Company*
Address*
City* State* Zip*
Daytime Phone*
Email*
Geographical area of coverage*
Types of business you sell to*
Other product lines you distribute*
How long in business*
Number of employees*
Quantity of private label water you forecast to sell per month:
pallets (approx. 60 cases per pallet)
truckloads (approx. 1440 cases/24 pallets per truckload)
Quantity of Northern Chill water you forecast to sell per month:
pallets (approx. 60 cases per pallet)
truckloads (approx. 1440 cases/24 pallets per truckload)
How did you hear about us?*
Comments
 
*Required Information–Please note we won't be able to get back to you without an e-mail, phone number and street address.


Enso Bottles