Distributor Application

Become an authorized Inspired LED distributor

Complete this application in its entirety. Questions? Call (480) 941-4286 or email orders@inspiredled.com

1. Primary Contact

2. Company Information

3. Tax & Compliance

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    4. Distribution Profile

    Type of Organization
    Customer Segments Served

    5. Purchasing & Sales Projections

    6. Stocking & Inventory Capabilities

    7. Sales Strategy & Commitment

    8. Trade References

    Certification & Signature

    By submitting this form, I certify that all information provided is accurate and complete. I understand that Inspired LED reserves the right to verify all information and that approval as an authorized distributor is at the sole discretion of Inspired LED.