Home > Distributor & Representative Application
 
Jump:


DISTRIBUTOR & REPRESENTATIVE APPLICATION


Thank you for your interest in becoming a McMillan representative or distributor. Please fill out the following form completely and submit it to us. We will follow up with you in 1-2 business days.

Fields in BOLD are required.
 
   
Your Company or Organization
Mailing Address
Mailing Address, continued
Mailing City
Mailing State (U.S. Only)
Mailing Zip/Postal Code
Mailing Country
Phone Number
Fax Number
Email Address
Website
 
Primary Contact
Primary Contact's Title
   
Number of Employees
Year Established
Location of other offices
Approximate turnover (in USD)
 

SALES & MARKETING
   
Main Contact
Email Address for Main Contact
Number of Internal Sales People
Number of Direct Sales People
Number of External Sales Agents
Main Industries Targeted
Trade Shows Attended
Details of any advertising, mailshots, etc.
       
 

OPERATIONS
   
Warehouse facilities
Other services offered (i.e. calibration)
   
 

ACCOUNTING
   
Main Contact
Email Address for Main Contact
   
 

MANUFACTURERS REPRESENTED
   
Manufacturer #1 Name
Manufacturer #1 Product Description
Manufacturer #1 Approx Net Annual Sales
Manufacturer #2 Name
Manufacturer #2 Product Description
Manufacturer #2 Approx Net Annual Sales
Manufacturer #3 Name
Manufacturer #3 Product Description
Manufacturer #3 Approx Net Annual Sales
Manufacturer #4 Name
Manufacturer #4 Product Description
Manufacturer #4 Approx Net Annual Sales
Manufacturer #5 Name
Manufacturer #5 Product Description
Manufacturer #5 Approx Net Annual Sales
Manufacturer #6 Name
Manufacturer #6 Product Description
Manufacturer #6 Approx Net Annual Sales
   
   
Other Notes
   
       
   
     

Click Submit and the request will immediately be processed.