Ultra Electronics, NSPI
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Become a Distributor or Rep

If you are interested in becoming a representative or distributor of Ultra Electronics, NSPI and leveraging the strength of our powerful brand, we would like to hear from you. To be considered, please complete the application below.

Once you have completed and forwarded the application, please send a copy of your current line card to:

Ultra Electronics, NSPI
Attention: Distributor/Rep Channel Manager
P.O. Box 300
Round Rock, TX 78680-0300
USA

Distributor & Representative Application Form
Black = RequiredCompany Profile
Company:
Address:
Address (Line 2):
City, State/Province, & Zip/Postal Code   
Country:
Website:
Number of Principals:
Total Employees:
Field Service/In-House Repair Capability?
Sales Information
Annual Sales: per year
Number of Sales Associates: Total: Inside: Outside:
Sales Territory Covered:

Please specify both the region and Zip/Postal Code ranges:
Top 3 industries or markets and Percentage of Annual Sales for Each:
Industry / Market % Sales
1.
2.
3.
Top 5 Product Lines and Percentage
of Annual Sales:
Product Line/Type % Sales Trend
1.
2.
3.
4.
5.
Black = RequiredProduct Interest
Product Group of Primary Interest:
Anticipated Sales of Ultra, NSPI products (Total): Year 1: Year 2: Year 3:
Black = RequiredYour Information
First Name:
Last Name:
Department/Position:
E-Mail:
Phone: Ext.
Fax:
Why should Ultra Electronics, NSPI select you as a representative or distributor?

Be sure to include the benefits you offer both as a sales partner to us and as a supplier to your customers.
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Product and company news and information. (Infrequent emails)

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