PROVIDING DISTRIBUTORS STATE OF THE ART PROFESSIONAL WHITENING TECHNOLOGY
Distributors in any market are always seeking newer a better products that can enhance their business relationships and generate new profits. Liquid Smile is the new product you have been searching for.
State of the art whitening. Professional strength, available only through dental and medical professionals. And an affordable product that more of your clients can offer to more of their patients and consumers.
We welcome your interest in becoming an authorized Liquid Smile
®
distributor. Please fill out the qualifying form below and submit it. We will contact you shortly to discuss how you can represent the fastest-growing professional whitening product in the industry.
Distributor Interest Form
Corporate Information
Name of Company:
Address:
Phone:
Fax:
Web:
Email:
President:
Vice President:
# of Employees:
# of Locations:
# of Inside Sales Reps:
# of Outside Sales Reps:
Marketing Information
Which is Your Market?.
Dental
Med-Spa/Medical
Does your company produce a yearly catalog?
Yes
No
Does your company produce regularly scheduled flyers?
Yes
No
Does your company have an email campaign?
Yes
No
Does your company attend trade shows?
Yes
No
Primary Market Area:
West
Southwest
Midwest
Mideast
Northeast
Southeast
International
Estimate of your ACTIVE customer base
< 1000
1000-2500
2500-5000
5000-10000
>10000
List your three most direct competitors
Distribution Information
What is your Distribution Channel for Liquid Smile? (select all that apply)
Retail
Dental Community
Med Spa Community
Television
Internet
How will you position Liquid Smile? (Select all that apply)
Cosmetic Product
Dental Product
Medical Product
To What Market do you currently Distribute? (select all that apply)
Retail
Dental Professionals
Medical Professionals
Med Spas
Salons and Day Spas
Optometry Professionals
Other (Specify)
Do you distribute to foreign markets?
No
Yes. If yes, select countries
Product Information
Do you currently represent a teeth whitening product?
No
Yes
If yes, which product(s)
What is your best selling whitener or cosmetic?
What is your second best selling whitener or cosmetic?
How did you hear about Liquid Smile?
Please call 888.954.7843 if you have any questions.
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