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Distributor Application

Application for Double Cola Company Distributor Agreement

The following information is requested to assist and guide our License Department to fairly judge applicant's ability and resources to develop Double-Cola distributorship and achieve maximum sales of Double-Cola brands throughout the requested territory. All information will be held in the strictest confidence.

Select a date

1. Please state the company, and applicant's, exact information:

Exact Legal Name

Facility Address

Facility Address Line 2

City

Region/State/Province

Postal / Zip code

Mailing Address (if different)

Phone

Fax

Email

2. List the counties and states for which you requesting a Distributorship Agreement:

3. List the products you ar urrently handling:

4. List the products you have sold in the past:

5. Current sales in dollars:

6. Provide your current company structure:

7. Give your projection of annual case sales for the territory for each of the brands for which you are requesting a License:

BRANDS: DOUBLE COLA JUMBO SKI

Year 1:

Year 2:

Year 3:

Your Signature

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