Sales and Distribution Opportunities

Are you interested in distributing or acquiring Simoniz products and services? Please fill out the information below and a Simoniz representative will contact you shortly. In order to best serve you, please be as detailed as possible so we can ensure that we connect you to the best possible representative to service your specific requests.

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Please tell us about yourself: (* denotes required fields)

Business Name
Name *
Business Address *	Address 2
City *	State * Zip *
Phone *	Fax
Website	Email *
How did you hear about us? Google Search Website Advertisement Facebook LinkedIn Youtube Other	If Other, please specify

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Please select the services you are looking for: (Select all that apply.)

Car wash/detailing product distribution	Healthcare product distribution
Janitorial product distribution	Commercial product distribution
Become a Washing Equipment Technologies partner	Become a GlassCoat (or affiliated programs) dealer

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Do you currently distribute any product lines? If yes please specify.

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What region do you presently cover for distribution?

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I am a:

Existing operator
New car wash
Car dealer

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I am a:

A new or used car buyer
An auto or motorcycle dealer
An agent

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Additional Comments:

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