Become a Distributor
Thank you for your interest in becoming a distributor of Alfa Scientific’s quality rapid test products for the point-of-care market place.
Please fill out the following online form to submit your request electronically and we will contact you as soon as possible. If you prefer, you may contact our sales department by phone at (858) 513-3888 or by email at sales@alfascientific.com to discuss distribution opportunities with an account representative.
| Company Organization | |
| Business Type | Corporation |
| Partnership | |
| Sole Proprietorship | |
| Other | |
| Year Founded | |
| Please list the number of employees in your company: | |
| Administration | |
| Sales | |
| Total | |
| Product/Services Information | ||
| Products currently sold: | ||
| Type | Manufacturer | # of Years |
| Alfa Scientific products you wish to add: |
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Your company’s approximate annual sales:
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| Previous Year | |
| Current Year | |
| Please identify the geographic area covered by your company: |
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Who are your main customers: (check all that apply)
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| Distributors | |
| Hospitals | |
| Clinics | |
| Government | |
| Tenders | |
| Other | |
| Trade shows you attend: |
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| Industry-related magazines subscribed to: |
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| How were you referred to Alfa Scientific: |
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| If from Internet, which search engine: |
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