New Buying Partner Form
Welcome to Grovara! Please take a moment to tell us a bit about yourself.
Buying Partner General Company Information
Please note that all entries with a red asterisk are required.
Company
*
Phone #
*
-
Area Code
Phone Number
Website
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Main Contact
*
First Name
Last Name
Title
*
Direct Phone #
*
-
Area Code
Phone Number
Contact E-mail
*
English Proficiency
Please Select
None
Some
Moderate
Fluent
Year Founded
Size of Firm
Please Select
Small - 50 Employees or Fewer
Mid-Sized - 50-200 Employees
Large - 200 Employees or More
Average Annual Revenue
*
(in USD)
How did you hear about Grovara?
Please Select
Manufacturing Partner
Broker Partner
Grovara Administrator
Territory Manager
Buying Partner
Logistics Partner
Government Contact (FAS)
Trade Show
Grovara.com
Competitor
Other
If heard from other source, please explain.
Is there anything else we should know about you and your company?
Buying Partner Distribution Information
Please List Your Current Distribution Information
In what type of retail market does your company operate?
*
Please Select
Natural/Organic
Supermarket
Club
Food Service
Hospitality
Other
If other retail market, please explain.
What are your distribution channels? Please select all that apply.
Athletics/Gyms/Active-Living Distr.
Convenience Store Distribution
Education Distribution Partner
Food Service Distributor
General Territory Distributor
Healthy/Organic/Better-For-You Distr.
Hypermarket/Big Box Distributor
Military Distribution Partner
Online Sales/Distribution
Private Label Product Distribution
Raw Ingredient Distributor
Service Industry Distribution
Small Retail Supply & Distribution
Specialty/Gourmet/Premium Product Distr.
Supermarket Sales/Distribution
They Manufacture Product
Wholesale Distributor
Other
If other distribution channel, please explain.
What retailers/markets does your company distribute to?
Do you carry any other US brands?
Yes
No
If other US brands carried, which and for how long?
What rates of annual sales growth are you experiencing with these brands?
Do you have any experience with importing organic goods?
Yes
No
If experienced importing organic, what brands? Are any from the US?
Is there an organic presence in your country/region? If so, how would you like Grovara to help you compete?
Which products and/or product families are you interested in?
Distribution & Service Terms Acknowledgment
This certifies that our company understands the following information about Grovara STANDARD Terms of Service:
AUTHORIZATION:
The above information is submitted for the sole purpose of opening an account and I hereby certify the information to be true.
Name
*
First Name
Last Name
Title
*
Date
*
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Month
-
Day
Year
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