Thank you for your interest in supplying to MoreDirect. In order for your company to be evaluated for sales and solutions opportunities within MoreDirect, please completely fill out and submit this form. Based on the high number of applications received, we will respond to you as opportunities arise.
PLEASE NOTE: All fields preceded by an asterisk (*) are required.
Company Profile Information
Are you a manufacturer/distributor?
Please describe your company's product line:
Does any portion of your product line require authorization?
If yes, briefly describe the authorization process.
If manufacturer, is your product line available through the following distributors? (Select Multiple Distributors by holding down the control key.)
Please list other distributors:
If your product line is not available through any of the above distributors, please list where MoreDirect can source your product.
Does your company sell through other resellers?
If yes, please list authorized resellers:
Does your company have EDI capabilities?
If yes, what transaction sets?
What makes your product line unique?
What is your company's target market?
Please list any vertical markets:
Please list your top product competitors:
Is your company currently doing any business with MoreDirect?
If so, what are your annual sales?
Does your company offer Marketing Dollar Funds (MDF) or Co-op funds?
If yes, what are your company's MDF reimbursement requirements?
Enter Verification Code:(case sensitive)
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