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Distributor/Reseller Inquiry Form

Thank you for your interest in Milo. Please complete the form below and a member of our team will follow-up with you as soon as possible.

Name*

First Name Last Name

Email*

Phone number*

Company name*

Job title*

Website URL*

Address

City State / Province / Region Country

Are you a distributor or a reseller?*

Distributor

Reseller

Distributor + Reseller

Not Applicable

Distributor online or in store?*

Online

In-store

Online + In-store

Not Applicable

Do you sell B2B or B2C?*

B2B

B2C

B2B + B2C

Not Applicable

If you have an online store, which countries do you ship to?

How many retail stores do you have?

List which retailers you work with today:

List the major products you distribute or re-sell:

How many sales reps are on your team?

In which countries are your sales reps?

What is your annual revenue?