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RE-ORDER YOUR GENTOO FILTER CARTRIDGE HERE
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Reseller Application Form
Company Name *
Company Address *
State *
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NT
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VIC
WA
Postcode *
Company Website *
Contact Person *
Title
Email Address *
Phone Number *
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Part A - Company Details
Industry *
Number of Employees *
Floor Space (m x m) *
Trading History *
Year(s)
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Type of Business *
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Partnership
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Customer Traffic (month) *
Below 200
200 - 800
800 Above
Annual Turnover *
Below $200,000
$200,000 - $599,999
$600,000 - $999,999
$1mil and above
Part B - Product Interests
Product Interested *
Emperor Qoozo
- Undersink Water Filtration and Activated Oxygen Water System
King Qoozo
- Bench Water Filtration and Activated Oxygen WaterSystem
Royal Qoozo
- Portable Ozonation Unit
Gentoo Glass
- Alkaline Water Filter Jug
Gentoo Lite
- Alkaline Water Filter Jug
Little Penguin
- Water Filter Bottle
Little Penguin Glass
- Water Filter Bottle
Cumulus
- Shower Filter
Stratus
- Whole House Water Filtration System
Glacier
- All Purpose Water Filter Dispenser
Penguin Mascot