Contact Us - International Distributors

Please fill out the following form to contact us: (BOLD fields are required.)

Company Name:
Street Address:
City:
Province/State:
Zip/Postal Code:
Country:
Company Website:
Contact Person:
Position in Company:
Phone Number:
Fax Number:
Your Email:
Business Nature:
Tax Number-GST /PST /VAT /Import Number:
How long has your company been in business?
How many people in your company?
Do you currently distribute any other products in your country?
What type of stores do you sell to?
What are your intentions for the Banana Guard?
Any other valuable information you can provide to us: