Sign Up Today and let OurSalesRep be Your Sales Rep

Supplier Sign Up

As a supplier, you will be contacted by OurSalesRep after filling out this application. Once your account has been activated by a OurSalesRep representative, you will be able to view matches and contact sales reps and other relevant suppliers. Please supply the following details. (Your information will not be shared with anyone without your specific permission. * Red fields are required)

FIRST/LAST NAME* EMAIL* (used as a login)
COMPANY ALTERNATE EMAIL
TITLE PASSWORD*
ADDRESS LINE 1* CONFIRM PASSWORD*
ADDRESS LINE 2 COMPANY/PERSONAL WEBSITE
CITY, STATE, ZIP* , LINKEDIN PUBLIC PROFILE
PHONE*
MOBILE
PRODUCTS OFFERED SERVICES OFFERED
COMPANY OR MARKET THAT NEEDS SALES SUPPORT
MY COMPANY INDUSTRY IS
LOCATION
SELECT TERRITORY OF INTEREST
I AM INTERESTED IN Sales representation at above account(s)
Opportunity awareness at above accounts
Project information consultancy
Key personnel consultancy
Setting up one-time meeting
General information gathering
REFERRAL# or COMMENTS
Please use referral sent by email, if you have one