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Representation Inquiry Form

Bebco Industries is actively working to expand our network of sales representatives
throughout our Domestic and Global Markets.

We are seeking representation in many
geographic regions for all three Product Line Divisions.

If you're interested in marketing Bebco products, we encourage you to contact us
immediately, especially if you cover the following areas of primary interest:

DOMESTIC REGIONS
Florida
Alabama
Oklahoma
Northern California
Southern Louisiana

INTERNATIONAL REGIONS
Brazil
Taiwan
Indonesia
Philippines
South Africa

*We provide two easy ways to apply!*
	Please e-mail your inquiry directly to < Stacy Gassaway or Billy May > or use the Inquiry Form below to submit your request

*CONTACT INFORMATION*
All Fields in Red are Required Information
Name:
Title:
Company:
Phone Number:
Fax Number:
E-Mail Address:
Website Address:
Mailing Address:
City:
State / Province:
Postal / Zip Code:
Country:

*BACKGROUND & PREFERENCES*
All Fields in Red are Required Information
Years in Business:
Preferred Territory: - PLEASE INDICATE REGIONS, STATES OR COUNTRIES -
Preferred Product Line: - PLEASE SELECT ALL THAT APPLY -	Portable Modular Buildings Environmental Control Units Custom Metallic Enclosures
Current Principals: (Complete list of all Companies you currently represent) - PLEASE INCLUDE WEBSITE ADDRESSES FOR EACH LISTING -
Bebco Response Method:

*NOTES & COMMENTS*
Please paste or type in information regarding your interest in marketing our Products, including details about your Company and local Clients you now call on. *Please note the size of this field is limited.*

*FILE ATTACHMENTS*
Please attach all relevant documents, including line sheets, territorial maps and company information that may be useful for our evaluation. *Total size of all files may not exceed 5 Megs*
File Number 1:
File Number 2:
File Number 3:
File Number 4:
File Number 5:

*FORM SUBMISSION*
Submit Now Please click Submit Button ONE TIME ONLY to prevent form duplication! *- a confirmation notice will be displayed upon successful transmission -*

Thanks so much for your inquiry! *- please expect a response to this submission within one business day -*

4725 Lawndale - La Marque, Texas 77568 - U.S.A.
Phone: (409) 935-5743 Fax: (409) 938-4189
Business Hours: 8 a.m. to 5 p.m. CST, Monday-Friday

Please feel free to e-mail our Webmaster to address
any issues, questions or comments about this Website.
Copyright 2006 - Bebco Industries, Incorporated - Publication Date: 11.09.07