SUPPLIER – Kos Distribution

SUPPLIER REGISTRATION FORM

Contact Name

First Last

Phone

Untitled

Job Title

Company Name

Business

Manufacturer, distributor, broker, etc)

Website

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Product categories offered

Are your products USDA/FDA approved?

Do you have liability insurance?

Minimum Order Quantity (MOQ)

Lead Time for Orders:

Are you interested in participating in Kos Distribution events?

Do you offer marketing or promotional support?

Any additional comments

By submitting this form, I confirm that the information provided is accurate and that our company complies with all regulatory requirements.