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Become A Distributor
 
If you are interested in becoming a distributor of Gems products and leveraging the strength of our powerful brand, we are interested in hearing from you. To be considered, please answer all questions below. Once the form is completed and sent, please forward a copy of your current line card to this address:
 


Gems Sensors & Controls
Attention: Channel Manager
1 Cowles Road
Plainville, CT 06002-1198

    
Company Profile:
(a) Annual Sales: $/year
(b) Total Employees:
(c) # Sales Associates: Inside   Outside
(d) # Principals:
(e)
Field Service/In-House
Repair Capability?		 Yes    No
    
Sales Territory Covered:
  Specify region and Zip/Postal Code ranges:

Top 5 Product Lines and Percentage of Total Sales:
1st % of Total Annual Sales Growing Declining Flat
2nd % of Total Annual Sales Growing Declining Flat
3rd % of Total Annual Sales Growing Declining Flat
4th % of Total Annual Sales Growing Declining Flat
5th % of Total Annual Sales Growing Declining Flat

Company Focus:Please specify your Top 3 target industries or marketsKey Applications in that market:
1st % of Total Annual Sales
2nd % of Total Annual Sales
3rd % of Total Annual Sales
    
Primary Products of Interest: (all that apply) Anticipated Sales of Gems products:
  Continuous Liquid Level Sensors after 1 year.
  Point Liquid Level Switches/Sensors after 2 years.
  Flow Switches/Sensors after 3 years.
  Pressure Transducers  
  Remote Monitoring  

Why should Gems Sensors & Controls select me as a distributor?:
  Be sure to include the benefits you offer both as a sales partner to us, and as a supplier to your customer.

Name:    *
Company Name:   *
Department/Position:   *
Address 1:    *
Address 2:   
City:    *
State/Province:    *
ZIP/Postal Code:    *
Country:    *
Phone:      Ext.
Fax:   
E-Mail:    *
  * required information
          
Line Card Information:    Yes, I will be sending Gems a copy of our current line card.
  I cannot send a copy of our current line card. Please contact me.

 
   
     
      

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