Authorized Internet Reseller Program

Please complete the following form to be considered for PRO-SET Epoxy’s Authorized Internet Reseller Program.

Authorized Internet Reseller Program Application

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Company Information

Address

Contact Information

To better serve you, please provide us the following contact information for your organization:
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General Manager(Required)
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Purchasing Contact(Required)
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Accounts Payable(Required)
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Price Change Contact(Required)
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Marketing Contact(Required)

Acceptance of Terms

Complete the following to accept the terms outlined in the Entropy Resins Authorized Internet Reseller Agreement and Unilateral Price Policies.
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Your Name(Required)