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Become A Distributor

Distributor Signup
Fill out the form below to become an LPM distributor.

All fields are required.

Company Name:

Key Sales Contact:

Contact Email:


Street Address:

 

City:

State:

Zip Code:

Phone Number:

Fax Number:

Number of years in Business:

Nature of Business:
(e.g. Industrial aftermarket, equipment dealer (new, used, rental), other material handling product lines, automotive aftermarket) explain fully:

Is your company an authorized distributor for
(check all that apply):

Aerial Work Platforms
Lift Truck
Sweeper/Scrubber
Personnel Burden Carriers

OEM Line(s):

OEM Line as a % of annual sales:

Sales/Service Personnel:
Indicate the number of employees with each department.

  • Parts Salesmen:

  • Shop Technicians:

  • Field Technicians:

  • Total Technicians:

  • Total Employees:

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