Looking to Rep HiTECH?

If you are interested in becoming a manufacturers representative of HiTECH Technologies, Inc., we are interested in hearing from you.

Manufacturers Representative

Profile

Thank you for your interest in HiTECH.

We are growing and are in need of manufacturers representatives in several key territories.

Please take a moment and complete all the questions in the profile below. All of your responses will be treated as confidential and will not be disclosed to anyone outside our company.

To email your profile, once you have completed the form, click on the Submit Profile button.

Please provide the following contact information:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

FAX

E-mail

URL

Business Profile

Business Structure
"C Corp "S" Corp
LLC Partnership
Sole Proprietorship Other

Nature of Business
(Briefly describe the nature of the business you are in)

Total Number of Employees

Number of Inside Sales Reps

Number of Outside Sales Reps

Please list the States, Territories you presently service

Do you currently represent a similar
or related product line?
Yes No

If you answered "Yes" above, please describe the type of product, the manufacturer and country of origin

Please list any Trade Organization Memberships

Please list the primary industries you have targeted for your sales efforts

Please provide any additional information, such as unique qualifications or special areas of interest that may assist you in representing HiTECH

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail
URL

Business Profile
Business Structure	"C Corp "S" Corp LLC Partnership Sole Proprietorship Other
Nature of Business (Briefly describe the nature of the business you are in)
Total Number of Employees
Number of Inside Sales Reps
Number of Outside Sales Reps
Please list the States, Territories you presently service
Do you currently represent a similar or related product line?	Yes No
If you answered "Yes" above, please describe the type of product, the manufacturer and country of origin
Please list any Trade Organization Memberships
Please list the primary industries you have targeted for your sales efforts
Please provide any additional information, such as unique qualifications or special areas of interest that may assist you in representing HiTECH