BECOME A DISTRIBUTOR
FOR 3B INDUSTRIES

Name *

Website

Company Name

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Email Address *

Mailing Address

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Physical Address

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Are you currently a supplier or distributor of car wash equipment and products? Y/N If "Y", please list the major lines your firm represents. Are you currently a supplier or distributor of car wash equipment and products? Y/N If "Y", please list the major lines your firm represents. YES NO

Lines your firm represents.

How long have you been active in the industry?

What markets do you currently pursue? What markets do you currently pursue? Self-Service Car Washing In-Bay Automatics Truck Washing (Automatic) Cleaning Detergents Express Washing Exterior Only Tunnel Full-Service Tunnel Other (Please Specify)

(Please Specify)

Are you interested in becoming an international distributor? Y/N Are you interested in becoming an international distributor? Y/N YES NO