Join Our Team | Rust Bullet Rust Prevention Products | Concrete Paint | Corrosion Preventive Treatment Repair Remover Converter

APPLICANT INFORMATION

Applicant Name*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

How did you hear about Rust Bullet?*

What industry do you serve?*

We have different products for applications in different industries. Please choose one that best fits your business.

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Industrial/Commercial
Automotive
Home & Farm
Marine
Concrete

What is your experience in the coatings or corrosion industry?*

What level of distribution are you interested in?*

Stocking Distributor
Reseller
In Field Use/Applicator

BUSINESS INFORMATION

Company Name*

Type of Business*

Years in Business*

Fax Number

# of Employees

Tax ID Number

Business Email*

Resale Number

Telephone 1*

DUNS Number

Telephone 2

Website URL*

Do you have a storefront or warehousing facility?*

Yes
No

Do you have shipping capabilities (ground/LTL/Truckload)?*

Yes
No

Do you have website capabilities?*

Yes
No

Do you have ecommerce capabilities?*

Yes
No

Do you currently have employees or staff for sales, marketing and distribution?*

Yes
No

Joining the Rust Bullet, LLC International Distribution Network, requires an initial investment in training, inventory, website and an online store, as well as on-going sales, marketing and promotion. Do you have the investment capital required for such a venture?*

Yes
No

REFERENCES

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Contact Name

Email

Telephone

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Contact Name

Email

Telephone

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Contact Name

Email

Telephone

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