Distributor Application Thanks for your interest in becoming an Absolute Control, Inc. distributor. We look forward to becoming your business partner. Please take a moment to complete and submit the distributor application on this page. Distributor Application: Business Name Business Address Message City State Zip Code New Field Company Phone Company Fax Company Email EIN Type of Organization Type of Organization Manufacturer Service Supplier Other Description of services or products provided Countries where services or products will be utilized Sales Manager Contact Quality Manager Contact Accounts Receivable Contact Does your insurance coverage meet Absolute Control's requirements (General Commercial liability with Absolute Control as additionally insurable, min $2,000,000 per occurrence? Does your insurance coverage meet Absolute Control's requirements (General Commercial liability with Absolute Control as additionally insurable, min $2,000,000 per occurrence? Yes (Please attach certificate) No Do you have a registered and certified ISO 9001:2008 Quality and Assurance Program? Do you have a registered and certified ISO 9001:2008 Quality and Assurance Program? Yes No If not, do you have a compliant ISO 9001-2008 Quality Assurance Program (please specify)? Payment Method Proposed Payment Term (wire transfers attach bank info) Applicant Name Applicant Title Applicant Phone Applicant Email Applicant Signature 9 + 13 = Submit
