This is a registration and inquiry form for companies who are interested in becoming a distributor of our products. For other inquiries, please use our standard contact form.
company information
company name    
   
address    
  (address line 1)
  (address line 2 - optional)
  (city)
  (state or region)
  (country)
  (zip / postal code)
 
 

(country code - telephone)
contact information
first name (& middle name)   last name
 
e-mail    
   
what types of customers do you sell to?
Local Distributors
Supermarkets
Convenience stores
Hotels
 
Bars & restaurants
Armed Forces
Hospitals
Vending Machines
what types of products and brands do you distribute?
 
what products are interesting for your company?
what products are interesting for your company?
Functional beverage
Functional water
Fruit juice
Wild Açaí (powder)
 
Cereal bars
Ice & Sorbet
Slush
    
when do you think you will place your first order if you find our products suitable for your market?    
   
please send us your questions and information with relevance, not asked for above:

 

* Your address information will not be used for any other purpose. We are committed to the privacy of our online customers - please read our Privacy Statement.