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Application Form
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Dealer Application Form
If you are interested in buying Go Green products for resale and become a Go Green distributor. Please fill out the following fields,please fill out ALL FIELDS as we cannot process your request without these informations. Thank you for inquiring about Go Green!
indicates required field
Wholesaler / Dealer Company Profile:
which product are you interest to distribute:

    Road Maintenance Material

  • Cold Mix Asphalt
  • Asphalt Pavement Sealer
  • Hot Melt Crack Sealant
  • Cold Pourable Crack Filler
  • Road Repair Taper
  • Asphalt Crack Repair Tape
  • Anti-Reflective Cracking Membrane
  • Anti lcing Agent
  • Snow Melting Agent

    • Color Pavement Material

  • Colored Pavement Binder
  • lron Oxide Pigment
  • PU ColdMix Color Binder
  • Color Asphalt Sealer Coating
  • Color Non-Slip Pavement

    • Emulsified Asphalt

  • Color Polymer Slurry Mixture
  • Color Emulsified Micro-surfacing
  • Asphalt Emulsifier

    • Bitumen Additives

  • Premium Rutless Green Anti Rutting Additive
  • Anti-Rutting Asphalt Additive
  • Anti Stripping Asphalt Additive
  • High Viscosity Asphalt Additive
  • Versatile Asphalt Additive
  • Cold Mix Asphalt Emulsion

    • Construction Material

  • Stamped Concrete
  • Asphalt Waterproof Membrane
  • Thermal Insulation Self Adhesive
  • Waterproof Membrane
  • Polyurea Waterproof Coating
  • Organic Silicone Coating
  • Cement Blanket
TYPE OF BUSINESS:
  • Manufacturer
  • Dealer / Distributor
  • Integrator
  • Corporation
  • Partnership
  • Sole Proprietorship
HOW MANY YEARS HAS THE COMPANY BEEN IN BUSINESS?
ANNUAL REVENUE
WHAT TYPE OF BUSINESS ARE YOU IN :

YOU ARE PURCHASING FOR:

  • RESALE
  • USE IN YOUR BUSINESS

DO YOU CURRENTLY CARRY GO GREEN® PRODUCTS?

YES NO
HOW DID YOU FIND OUT ABOUT GO GREEN® ? (Please choose an option)
  • Website/Search Engine (Google, Bing, Ask, Etc.)
  • Word of mouth ( heard from a customer, friend, colleague, supplier etc.)
  • Social Network ( Linkedin, Facebook, Google+, Twitters, WeChat, etc.)
  • Email/ Newsletter
  • Advetisement (Google, Alibaba, B2B,etc.)
  • I saw it on a poster/flyer/brochure
  • Youtube
  • Magazine/ Newspaper
  • Exhibition
  • Industry Association

DO YOU HAVE WAREHOUSE FACILITIES?

YES NO

DO YOU HANDLE PRODUCTS THAT ARE COMPETITIVE WITH GO GREEN® PRODUCTS?

YES NO

DO YOU MANUFACTURE PRODUCTS?

YES NO

LIST THE COMPANIES / MANUFACTURERS THAT REPRESENT THE MAJORITY OF YOUR SALES VOLUME.

ARE YOU THE COMPANY OWNER

YES NO

INFORMATION FOR THIS FORM WAS AUTHORIZED BY:

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Contact Us
  • Go Green Industrial (Shanghai) Co.,Ltd.
  • Phone: +86 21 6105 3027 / 6100 9307
  • Mobile: +86 159 0079 5274
  • E-mail: sales@go-green.com.cn
  • Add: 12th Floor, YongYe Mansion. No.2240 South Pudong Road, Pudong New District. Shanghai, China 200127

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