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Application Form
Home > About Us > Distributor > Application Form
Dealer Application Form
If you are interested in buying Go Green products for resale and become a Go Green distributor. Please fill out the following fields,please fill out ALL FIELDS as we cannot process your request without these informations. Thank you for inquiring about Go Green!
indicates required field
Wholesaler / Dealer Company Profile:
which product are you interest to distribute:
  • Cold Mix Asphalt
  • Asphalt Pavement Sealer
  • Micro Paving Warm Mix Asphalt
  • Cold Pourable Crack Filler
  • Adhesive Crack Tape
  • Cold Mix Color Asphalt
  • Colorless Asphalt Binder
  • Color Porous Pavement
  • Color Asphalt Sealer Coating
  • Iron Oxide Pigment
  • Color Antiskid Pavement
  • Cold Mix Asphalt Emulsion
  • Asphalt Warm Mix Agent
  • Thermoplastic Marking Paint
  • Waterproof Anti-corrosion Coatings
  • Wall Crack Sealant
  • Stamped Concrete
TYPE OF BUSINESS:
  • Manufacturing
  • Dealer
  • Integrator
  • Corporation
  • Partnership
  • Sole Proprietorship
HOW MANY YEARS HAS THE COMPANY BEEN IN BUSINESS?
YEARS AT PRESENT LOCATION?
ANNUAL REVENUE
WHAT TYPE OF BUSINESS ARE YOU IN (enter percent if more than one):

YOU ARE PURCHASING FOR:

  • RESALE
  • USE IN YOUR BUSINESS

KEY PERSONNEL:

NAME
NAME

DO YOU HAVE A CATALOG?

YES NO
If Yes, Frequency?

DO YOU CURRENTLY CARRY GO GREEN® PRODUCTS?

YES NO
HOW DID YOU FIND OUT ABOUT GO GREEN® ? (Please choose an option)
  • Website/Search Engine (Google, Bing, Ask, Etc.)
  • Word of mouth ( heard from a customer, friend, colleague, supplier etc.)
  • Social Network ( Linkedin, Facebook, Google+, Twitters, WeChat, etc.)
  • Email/ Newsletter
  • Advetisement (Google, Alibaba, B2B,etc.)
  • I saw it on a poster/flyer/brochure
  • Youtube
  • Magazine/ Newspaper
  • Exhibition
  • Industry Association

DO YOU HAVE ADDITIONAL OFFICE LOCATIONS?

YES NO

DO YOU HAVE WAREHOUSE FACILITIES?

YES NO

DO YOU HANDLE PRODUCTS THAT ARE COMPETITIVE WITH GO GREEN® PRODUCTS?

YES NO

ARE YOU PART OF A BUYING GROUP / AFFILIATION / COOP?

YES NO

DO YOU MANUFACTURE PRODUCTS?

YES NO

LIST THE COMPANIES / MANUFACTURERS THAT REPRESENT THE MAJORITY OF YOUR SALES VOLUME.

INFORMATION FOR THIS FORM WAS AUTHORIZED BY:

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Contact Us
  • Go Green Industrial (Shanghai) Co.,Ltd.
  • Phone: +86 21 6105 3027 / 6100 9307
  • Mobile: +86 159 0079 5274
  • Fax: +86 21 5187 6819
  • E-mail: sales@go-green.com.cn
  • Add: 12th Floor, YongYe Mansion. No.2240 South Pudong Road, Pudong New District. Shanghai, China 200127
Go Green Industrial (Shanghai) Co., Ltd.

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