Dealer Application - Salus Marine

Interested in carrying Salus PFDs in your store?

Fill out the application below and a Salus customer service or sales representative will be in touch with you shortly!

Company Name(Required)

Email(Required)

Phone(Required)

Company Website

Company Address(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Do you have a Retail Store front?(Required)

Yes

Tell us more about your business(Required)

Are you familiar with our products?(Required)

Yes

Have you been in contact with any of our sales?(Required)

Yes

Please list sales reps:(Required)