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Home Authorized Distributor Form

BECOME A CTC AUTHORIZED DISTRIBUTOR

Please submit the form below to learn more about becoming a CTC Authorized Distributor:

Contact Information

First Name *

Last Name *

Email *

Phone

Extension

Fax

Mailing Address

Company Name *

Street address *

City *

Country *

Zip code *

Company Details

Services *

Please briefly list the product lines or services that you sell or provide to industry

Detailed Company Overview *

Please upload a detailed description of your company

Number of Years in Business *

Number of Employees *

Condition Monitoring Experience *

Please describe any experience you have in condition monitoring (installation, service, or sales)

Do You Have Any Accredited Vibration Certifications? *

Yes

No

How Do You Plan to Incorporate CTC Products Into Your Company? *

Select all that apply

Buy and Resell Only
For Routes and Installations
Other

Do You Manufacture Products That Work in Conjunction With CTC Products? *

Yes

No

What Industries or Companies Do You Do Business With? *

Please Upload a Comprehensive Sales/Marketing Plan for CTC Products *

How Did You Learn About CTC? *

Verification *

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Victor, NY 14564 USA

+01 (585) 924-5900

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