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Fill out the form to become a Rusco Customer. A member of our team will contact you with information on how to become a certified Rusco customer.

Contact Information

Contact NameContact TitleEmail AddressPhone Number

I am a:DistributorDealerOEMeCommerceOtherWere you referred by a sales representative?YesNoIf so, please provide their name and contact information

Company Information

Company NameEmployer Identification Number (EIN)Company AddressCityStateZip CodeHow many years has your company been in business?How many employees does your company have?What markets do you sell into?Do you currently sell a similar type of water filtration product?YesNoDescribe your typical customer.

What regions do you currently cover with sales?How many locations do you have?Where are they located? (Please provide addresses)Do you have warehousing?YesNoIf so, what is the approx. total sqft?Do you plan to stock the product?YesNoDo you have dedicated salespeople?YesNoIf so, how many?Do you have sales tax exempt certificate?YesNoWebsite URL:Do you sell online through your site or other eCommerce platforms?YesNo

Thank you! We will contact you soon about becoming a distributor.

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Rusco Sediment Trapper, Rusco Spin-Down, and Sun Shield are registered trademarks of Rusco || Rusco 13360 Chambord St. Bldg. B Brooksville, FL 34613, United States of America || © 2024 Rusco | All Rights Reserved

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