New International Distributor Request

Applying for distribution in (list all countries):*

Applying for distribution of (choose and end-use channel: Commercial and/or Tactical):*

Commercial Tactical

Company Name (Legal Name)

Company Name (Trade Name, DBA)

Parent Company Name (If Subsidiary)

Primary Contact's First Name*

Primary Contact's Last Name*

Contact Email*

Contact Phone*

Website*

Year Established*

Number of Employees*

Distribution Methods

Do you sell via your website?*

Yes No

List other Outdoor brands that you currently distribute.*

What interests you about Outdoor Research? How will Outdoor Research's product line fit in and complement your existing portfolio of brands?

Other Comments