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Welcome From The Support Team At Switch-N-Go

If you are interested in becoming a Switch-N-Go Distributor, completing the following form is the first step in making that happen. Once we receive your completed forms, we will receive your information via email and we will begin the application process. If you have any questions as you work your way through the application process, do not hesitate to contact the factory directly. Thank you for your interest in Switch-N-Go™, we look forward to working with you in the near future.

Company Name

 *

Contact Name

 *

Contact Title

 

Address

 *

City, State

 *

Zip

 *

Country

 

Work Phone

 *

Home Phone

Mobile

Fax

E-mail

*

Web Site

Years in Business

 

I am interested in
Switch-N-Go for the following reason:

 *

Rate Your Company's Skill   (5-Best)

Marketing Will Include

Sales

Site Calls

Entrepreneurship

Direct Mail

Operations

Retail Storefronts

Purchasing Facilities

Product Demos

Marketing

Billboard

Administrative

Print Ads

Installation

Trade Shows

My Current Career*

 *

My Current Product Lines:

Office Square Feet

Warehouse Square Feet

I can sell and service the following territory*
(list boundary or radius)

 *

I will make the following initial order*

 *

I project to sell the following volume in
the first year*

 *

Additional info you
would like

 

Check that the fields with an asterisk (*) are completed as they are required.  Then click submit below.

By clicking the submit button below, you agree to the Confidentiality Agreement shown in the right column.
 

Confidentiality Agreement:

The information to be shared between Deist Industries, Inc. and you is confidential. By clicking this box and submitting this request, you agree that any such disclosure is made only upon the following terms and conditions:
All such disclosures (whether oral, written or otherwise) made by Deist Industries, Inc. are deemed to be confidential and secret. Deist Industries, Inc.'s file memoranda or notes, whether made during or after conversations, shall be conclusive evidence of the information disclosed to you and its confidentiality. All Proprietary Information disclosed to you is for your evaluation purposes only. You agree not to make, directly or indirectly, any commercial or other use of such Proprietary Information without Deist Industries, Inc.'s prior, express, written permission. You agree to take such precautions as may be necessary to prevent the disclosure of any such Proprietary Information to others.

You recognize that Deist Industries, Inc. owns all of the rights with respect to all of the Proprietary Information disclosed to you. No right, express or implied, is conveyed to you by the disclosures made by Deist Industries, Inc. to you. You agree not to make any copies of any of the Proprietary Information without Deist Industries, Inc.'s prior, express, written permission.

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