Dealer/Distributor Application

Thank you for your interest in representing Nanobot.
If you are interested in reselling or distributing Nanobot Housewares Solutions, please complete the form below. Your application will be reviewed by Our Management team.
Please fill in this form with as much detail as possible. All information will be kept confidential.

Dealer/Distributor Application

* indicates required field
1 Step 1
Are you applying to be a dealer or a distributor? (Please select all that apply)
(Dealers provide support directly to the customer; Distributors offer products to other dealers and distributors)
What is your business type? (Please select all that apply)
(PDF or DOC format only please)
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