Selection Form - Distributors Road 2025

1
Your Company or Brand Name* This field is required.
2
Your Full Name* This field is required.
First Name
Last Name
3
Your Email Address* This field is required.
example@example.com
4
Company website* This field is required.Please share your official website
5
Are you the Decision Maker in the Company ?* This field is required.
YESNO
6
Your WhatsApp Number* This field is required.
7
In which Areas would you like to develop your Export Sales?* This field is required.Select 1 or more
America
Asia
Europe
8
Which specific countries would you like to target for export sales?* This field is required.Please list the countries in order of priority, if possible.
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Ok
Ok
9
Do you plan to attend any trade fairs in the near future?Please specify which ones and when. (Example: Wine Paris, ProWein, Vinitaly...)
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10
Do you currently offer organic or biodynamic products?* This field is required.
YESNO
11
Strategic Alignment: 0% Commission* This field is required.We are Facilitators, not agents. We take 0% commission to ensure you retain 100% of your margins and direct ownership of your network. Do you confirm your alignment with this fee-based framework?
Yes – I want to own my margins and my network.
No – I am looking for a traditional commission-only agent (Note: Selecting this will end the application).
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