Become a distributor or rep

If you are interested in becoming a representative or distributor of NSPI and leveraging the strength of NSPI’s powerful brand, we would like to hear from you. To be considered, please complete the application below.

Once you have completed and forwarded the application, please send a copy of your current line card to:

Ultra Electronics, NSPI
Attention: Distributor/Rep Channel Manager
P.O. Box 300
Round Rock, TX 78680-0300
USA

Company Profile

Company*

Address*

Address

City, State/Province, Postal Code*

Country*

Website*

Number of Principals*

Total Employees*

Field Service/In-House Repair Capability?*
Yes No 

Sales Information

Annual Sales*:
$

Number of Sales Associates*:
Total: Inside: Outside:

Sales Territories Covered*:

Top 3 industries or markets and Percentage of Annual Sales for Each*:
1.
2.
3.

Top 5 Product Lines and Percentage or Annual Sales*:
1. Trend:
2. Trend:
3. Trend:
4. Trend:
5. Trend:

Product Interest

Product Group of Primary Interest*:

Anticipated Sales of Ultra, NSPI products (Total)*:
Year 1: Year 2: Year 3:

Your Information

Your Name*

Your Email*

Department/Position*

Phone*
Ext.

Fax

Why should Ultra Electronics, NSPI select you as a representative or distributor?*

Be sure to include the benefits you offer both as a sales partner to us and as a supplier to your customers

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