NEW DISTRIBUTOR APPLICATION FORM

Elkay is proud of the relationships we've built with poly bag distributors in the industrial, health care and food service industries.

We work hard to provide you the product training, support, sales aids and market information you want to help you maximize your volume and profit return on poly bag sales. In return, our distributors give us the advantage of developing and building on great partnerships throughout the country.

Fill out and submit the form below to become a distributor of Elkay's poly bags, poly tubing and other packaging supplies.

CONTACT INFORMATION
The asterisk (*) indicates
a required field.
Company Name*  
Street Address *  
P.O. Box  
City *  
State/Province *  
Zip/Postal Code *  
Name *  
Title *  
Email Address *  
How did you hear about us? *  
If other, please specify  
Company Phone *  
Purchasing Contact  
- Phone Number  

- Ext.

  

- Fax

 
- Email Address  
Purchasing Manager  

Sales Manager

  

Headquarters Location

  
Branches/Locations and Function  

Web Site Address

  



PRODUCT INFORMATION

Do you manufacture?
Yes
No

What products?



What type of products do you distribute?



How many field sales people do you have?



Telemarketing/Inside Sales people?



Customer Service people?




Are you ISO 9000 Certified?




What Elkay products are you interested in?




Do you currently sell poly bags?
Yes
No


For which manufacturers?




What size of bags do you require?




What are the freight terms that you require?




What percent of your polybag products require printing or other custom specifications?



Please describe your primary market by industry and geographic area.