Become a Dealer

Please fill out the form below and click submit when finished. One of our representatives will contact you as soon as possible, usually within 48 hours.

If you have any further questions, please feel free to contact by phone at (866) 4RESQME (473-7763) or by email at

* If you are a promotional distributor, please click here to be redirected to www.nov8promo.com.

General Info

Business Name:* DBA:*
Date:*

Company Details

Contact Name:* Title:*
Address:*
City:*
State:*
Country:*
Zip/Postal Code:*
Phone:*
Email:*
Skype Name:
Federal Tax ID:*
Sales Tax #:*
DUNS/D&B:#*
VAT#:*
Company Type:*

Business Details

Description of Business:*
Years in Business:*
Yearly Sales:*
Product Details:*
Brand References:*
Top Five Clients:*
What's is your vision for this Partnership:*
Describe your proposed business strategy:*
How will you promote resqme:*
Will you exhibit in any shows?(Specify):*
Do you plan to sell resqme™ outside of your Country:*
Are you a:*

If Reseller, Please specify Market:*

By clicking submit you are agreeing to the Terms and Conditions.

Home | Markets | Product | Contact

Site Map | Privacy Policy

Design by AirTight.