How did you hear about Proforma's PLP Program?*

Product/Service Offerings (only select your company’s key offerings to distributors):


In what products/services do you specialize?*

What special pricing will you offer Proforma? (i.e - EQP-5%, 15% off standard pricing) Please explain:

What type of credit terms will you offer Proforma Professionals? Will you accept the Proforma credit app? (click here for the Credit app) Please explain

Do you sell to the US and Canada?

Do you employ a direct sales force?

If yes, please provide percentage of overall sales that are direct

Would you would be willing to sign a non-compete agreement for Proforma’s customers.

Additional Comments: