International: +1.815.337.8555
US: 1.800.637.1623

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DISTRIBUTORSHIP

Thank you for your interest in becoming an Innoquest Dealer/Distributor.

You may submit your application electronically using the form below or you may view and print the application here.

Please contact us with any questions (sales@innoquestinc.com or 815.337.8555). We look forward to reviewing your information and will be in touch with you.

Step 1 of 6 - Business Information

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Business Information
Business Name*
Tax ID #*
Legal Form Under Which Business Operates*
In Business Since*
Location*
Address*
Street Address Address Line 2 City State ZIP Code
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Fax Number
Website*
Which Of The Following Best Describes Your Business?*
- Farm Equipment Dealer
- Distributor Wholesale Only
- Consultant
- Other

Contact Information
Name*
Title*
Title*
Phone*
Email*

Background
How Did You Hear About Innoquest?*
Number Of Sales Staff*
Products Of Interest:*
- Ag Spray
- Ag Irrigation
- Ag Soil
- Aviation
- Food Science
- Industrial
- Greenhouse
What Other Companies Do You Normally Buy This Type Of Equipment From?*
Do You Have A Retail Store?*
What Type Of Products Do You Offer?*
Would You Offer Our Product(s) On Your Website?*
Would You Hold Inventory Of Our Product(s)?*
Would You Require Drop Shipments For Our Product(s)?*
Do You Print A Catalog?*
Would You Offer Our Product(s) In Your Catalog?*
Do You Attend Trade Events?*
What Trade Events Do You Attend?*
What (other) Marketing Practices Do You Have In Place?*

Net 30 Application
Optional
Bank Institution
Type of Account
Account Number
Phone Number
Fax Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business / Trade References
Note: Credit application process can take a minimum of 7 business days. Please include at least 3 references.
Company #1 Name
Company #1 Contact Name
Company #1 Phone Number
Company #1 Email
Company #1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company #2 Name
Company #2 Contact Name
Company #2 Phone Number
Company #2 Email
Company #2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company #3 Name
Company #3 Contact Name
Company #3 Phone Number
Company #3 Email
Company #3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company #4 Name
Company #4 Contact Name
Company #4 Phone Number
Company #4 Email
Company #4 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company #5 Name
Company #5 Contact Name
Company #5 Phone Number
Company #5 Email
Company #5 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Submit Your Application
Consent*
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.

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CONTACT US FOR MORE INFORMATION

ADDRESS

Innoquest, Inc.
910 Hobe Road
Woodstock, IL 60098

PHONE

US 800-637-1623
International +1-815-337-8555

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Email*

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Please Note

Longer lead times and price adjustments may be necessary due to supply chain issues, we continue doing our best to keep you informed and thank you in advance for your understanding. If you have any questions, please contact us.

© 2024 Innoquest Inc. All Rights Reserved.

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