Are you able to sign and execute an NDA on behalf of this company? *

If you specifically are not able to execute an NDA, but can have one completed by others at the company please select the third option.

Yes

No

No, but I can get one executed by a team member with the required authority.

Applicant Name *

First Name

Last Name

Business Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Sales Channels *

Select the channels where you primarily sell the products and or services you offer.

E-Commerce (Online)

In-Person (Retail)

Events/Tradeshows (Infrequent Retail)

How are your customer's orders fulfilled? *

Please tell us who is responsible for shipping your online orders.

In-House Fulfillment (You ship things yourself.)

3rd Party Fulfillment (A company ships for you.)

Have you ever used (tried personally, or tested for your company) Gloop! before? *

Yes

No

If you answered "No" above would you be interested in a commercial sample?

Yes

No

Which Gloop! products are you most interested in carrying? *

Check all that apply

PLA Gloop! - 120ml

PLA Gloop! - 75ml

PET Gloop! - 120ml

PET Gloop! - 75ml

ABS Gloop! - 120ml

Nano Gloop! (Any Formula)

Do you have an inventory system capable of tracking product serial numbers? *

If your inventory system is manual, please select "No".

Yes

No

Unsure

Which barcode format do you require? *

UPC Only

EAN Only

UPC or EAN

Barcodes Optional