Distributor Application
Online submission Download the form
General Information
  • Company Name
  • Contact Person
  • Street Address
    (No P.O. Box)
  • City
    Zip Code
  • Country
  • E-mail
  • Phone Number
    Fax Number
Business Information
  • Year of Establishment
  • Number of Employees
  • Main Products/Services
    Service Sector(s)
  • Type of Business
  • Sales Territory
    Percentage of Valve Business (%)
  • Annual Turnover(US$)
    Percentage of Valve Stock (%)
Required Documents Checklist
Indicate the territory you would like to represent under FBV Inc.:
Please complete this form, sign, and send by e-mail at sales@fbvalve.com or by fax at 832-203-5461.
  • Print Name
  • Title
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