Thank you for showing an interest in becoming a Buisklem distributor. Completing this form will begin a process with our business development team.

Distributor Application


Your name, or someone in your company who can set up your distribution relationship.

Please describe your business. What products do you sell? What markets do you sell into? What type of customers do you have?

Please give us an idea of what kind of sales volume you expect in each of the product categories.

Please check all the different product categories where you expect to sell products.