International Distributor

Company Profile

Legal Company Name

Trading Name (if different)

Year Established

Country of Registration

Company Website

Contact Name

Position

Email

Phone Number

Head Office Address

Other Office Locations (if any)

Business Details

Number of Employees

Annual Turnover (in USD)

Territories of Operation

Current Brands Distributed

Experience in Cosmetics / Cosmeceuticals Market

Regulatory and Legal

Experience registering products in your country?

YesNo

Do you have a regulatory team or agency?

YesNo

If yes, provide details

Import License Number (if applicable)

Any product restrictions in your market?

Market Strategy

Why do you want to represent Bio-Xin?

Target Market Segments

Initial Order Quantity / Investment

Marketing Strategies (Digital, PR, etc.)

Annual Sales Forecast

References

Company Name

Name

Position

Email

Phone

Relationship Duration

Company Name

Name

Position

Email

Phone

Relationship Duration

Additional Information

Require exclusivity?

YesNo

If yes, explain why and for how long

Key terms/conditions expected

Additional Comments

Declaration

I confirm that the above information is accurate and understand this does not guarantee a distribution agreement.

Name

Position

Date

Your Cart is Empty!

Distributor Application Form

Company Profile

Business Details

Regulatory and Legal

Market Strategy

References

Additional Information

Declaration