Supplier – Kos Distribution

Welcome to Kos Distribution! Please complete the following form to register as a supplier.

COMPANY NAME

BUSINESS TYPE (MANUFACTURER, DISTRIBUTOR, BROKER, ETC)

WEBSITE

BUSINESS ADDRESS

City

State

ZIP Code

Country

PRIMARY CONTACT INFORMATION

Contact Name

Job Title

Phone Number

PRODUCT INFORMATION

Are your products USDA/FDA approved?
YesNo

Minimum Order Quantity (MOQ)

Do you have liability insurance?
YesNo

Lead Time for Orders

ADDITIONAL INFORMATION

Do you offer marketing or promotional support?
YesNo

Are you interested in participating in Kos Distribution events?
YesNo

Any additional comments

AGREEMENT & SUBMISSION:

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

SUPPLIER REGISTRATION FORM