Become a CoreTex Distributor

Become a CoreTex Distributor & Company Profile

Please completely fill out the form below. In order to begin work with Coretex this from must be completed and approved by CoreTex Inc. For questions or assistance please contact us at: Toll Free Phone: 1-877-684-5774 or Email: becomeone@coretexproducts.com

Company Name
Type Of Business: Number of Branchs:

Bill To Address:
Address: City:
State: Zip

Ship To Address:
Address:
City:
State:
Zip

Primary Contact:
Name: Title:
Primary Contact Phone Number:
Primary Contact E-Mail Address:
Web Address:

Bank Reference:

Trade References:

Re-Sale License Number: