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Distributor Application Form Template

Streamline Your Distributor Recruitment Process with This Template

Struggling to efficiently recruit and onboard new distributors? This distributor application form template helps manufacturers and suppliers streamline their hiring process with ease. By using this template, you can quickly gather crucial information, evaluate potential partners, and maintain a clear record for compliance and follow-up. Enjoy features like customizable questions, seamless data collection, and user-friendly design, all while ensuring WCAG-aligned accessibility. Explore our live template and start simplifying your application process today.

Use this Template (FREE) Live Preview
Applicant full name
Email address
Phone number
Company legal name
Country or region of company headquarters
Legal business entity type
Sole proprietorship
Partnership
Limited liability company (LLC)
Corporation
Cooperative
Nonprofit
Other
Please Specify:
Years in business
Under 1 year
1-2 years
3-5 years
6-10 years
11+ years
Annual revenue band (USD)
Under $100k
$100k-$499k
$500k-$999k
$1M-$4.9M
$5M-$9.9M
$10M+
Prefer not to say
Territories you plan to cover
Please Specify:
Primary sales channels
Retail storefront(s)
Wholesale/B2B
E-commerce website
Online marketplaces
Direct field sales
Sub-distributors
Tele-sales
Other
Please Specify:
Current product categories you distribute
Please Specify:
Estimated monthly sales capacity for our products
Under 100 units
100-499 units
500-1,999 units
2,000-4,999 units
5,000+ units
Not sure
Logistics capabilities
In-house delivery fleet
3PL/warehouse partners
Cold chain capability
Cross-border shipping
Dropshipping
EDI integration
After-sales service/repairs
None of the above
Ability to meet minimum order quantities (MOQs)
Yes
No
Depends on product line
Do you hold required licenses/permits for your territory?
Yes
No
Trade references (company, contact name, email, phone)
Product lines of interest
Core product line A
Core product line B
Core product line C
Accessories
Spare parts
Services
Not sure yet
Exclusivity request
No exclusivity
City-level exclusivity
State/Province-level exclusivity
Country-level exclusivity
Multi-country exclusivity
Not sure
I agree to be contacted about my application
Yes
No
Typed signature (full name)
Signature date
I agree to the distributor terms and privacy policy
Yes
No
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paper art illustration representing distributor application form template for FormCreatorAI article

When to use this form

Use this form when you need to vet businesses that will resell your products or cover a territory. It helps channel and sales leaders qualify serious applicants before sharing pricing, inventory, or rights. Common scenarios: expanding into a new region, moving from direct-to-consumer to retail, launching a line that needs cold-chain storage, or replacing an underperforming reseller. Capture legal details, market coverage by state or country, warehouse capacity, certifications, and sales forecasts. If an applicant is a better fit for co-marketing rather than resale, route them to the Partner application form. For influencer-driven referrals or campus reps, consider the Brand ambassador program application form. The result: faster approvals, fewer disputes, and a stronger channel.

Must Ask Distributor Application Questions

  1. What is your legal business name, registration number, and how many years have you operated?

    This verifies legitimacy and trading history, reducing fraud and credit risk. It also helps your finance team run quick compliance checks.

  2. Which territories do you currently cover, and which sales channels do you serve (retail, ecommerce, B2B)?

    Territory and channel clarity prevents overlap with existing partners and avoids channel conflict. You can align pricing, MAP policies, and support with their actual reach.

  3. What annual sales volume and marketing plan can you commit in the first 12 months?

    Forecasts set clear expectations and help you model inventory and co-op budgets. If they are better suited for advocacy than resale, direct them to the Partnership application form.

  4. What warehousing, delivery capabilities, and required certifications (e.g., cold chain, HazMat, ISO) do you hold?

    Operational detail ensures they can store and ship your products safely and on time. Certifications protect your brand and reduce claims or compliance issues.

  5. Please share two current supplier references and disclose any competing brands you represent.

    References validate performance and payment behavior from credible sources. Conflict disclosures reveal potential brand clashes before you assign territory.

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