First Name

Last Name

Email

Company

Address

City

Zip/Postcode

Country

Phone

Fax

Web Address

Sales & Marketing

Administration

Technical

Total

BECOME A DISTRIBUTOR

All fields for the Distributor pre-qualification are mandatory

Contact Details

How many full time employees do you currently have?

What are your business strengths?

Why do you want to become a distributor of WFS products?

Note: This form carries no proof or guarantee of WFS distributor status. WFS management shall review the information provided in this form and if it suggets that a suitable capability may exist, then further clarification may be sought and a full distributor application form may be sent out.

Which markets does your business operate in?

What type of customers do you deal with?

What is the nature of your business?

Please describe your trading premises and resources.