Become a Vendor

 

SapHa Water Vending is committed to the success of each partner Vendor. As an Authorized Vendor we can provide you with:

• Promotional & Business Tools
• Information about the healthy water industry
• The right to use Registered Trademarks, pictures, logos, etc
• Marketing Materials and product support

Please complete the form below to give us more information about your company and we will contact you soon!

Legal Company Name *
Street Address *
City
State	- select a state -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code
Business Phone *
Daily Avg Foot Traffic
Currently vending water?
IF YES? Monthly Volume
Email *
Date Business Started	(mm/dd/yyyy)
Days and Hours of Operation
Contact Name *
Which of the following best describes your business?	- select -WholesaleRetailDoctors OfficeHealth InstituteHome BusinessOther
Is Location willing to assist in servicing of machine? Additional comments or questions?
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