Become an Agent for GSA

Please note all our agents have exclusive territories. Generally one per country.

At Government Suppliers & Associates we believe that strong relationships make strong business partners. We give all of our agents one-on-one attention so we may help each other build our mutual business.

If you are interested in joining our family of International Agents please complete the Agent Information Form below. All information is kept strictly confidential and will only be used by our
company in evaluating your application.

AGENT REGISTRATION INFORMATION:

Contact Information
Company Name:
Contact Name:
Company Address:
Street:
City:
Country
Phone with Country Code:
Fax with Country Code:
E-mail address:


Company Information
Ministry of Defense Supplier Number:
Year established:
Estimated Annual Sales ($USD):
Do you maintain a Retail Store?
Yes
No 		Name:

Address of Store Location:
(if different from above)
Street:
City:
Country
Do you currently represent any manufacturers on an Exclusive Basis?
Company Name
Product Line Carried
Brief Background on Company:

Thank you again for your interest in representing Government Suppliers & Associates.
We will be back in touch with you very shortly.