Samson ™® Multi-Purpose Washer

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About Us

A Member of the Better Business Bureau

Thank you for your interest in the SAMSON™® products for your business.

Greenbison, Inc. is committed to the success of each of our authorized dealers. Through you, we provide your customers with quality products that will give years of dependable service and lasting value.

Whether you are purchasing from one of our Authorized Distributors or purchasing directly from us, we would like to consider you as one of our Authorized Dealers. As an Authorized Dealer we can provide you with services such as:

Provide you with extra brochures, posters, videos, etc. of the Samson Juicers as needed.
Provide you with the right to use our Registered Trademark pictures, logos, etc. These can be sent to you directly from our head office, or can be taken from our website.
Refer potential customers to your location if they are in your area.
Provide you with a weekly list of these customers that have been referred to you, along with their contact information. This will either be mailed, faxed, or e-mailed. You may choose below.

If you are purchasing or planning on purchasing from one of our Authorized Distributors, we do encourage you to continue business with them. Becoming an Authorized Dealer will not bind you to purchasing directly from us.

We look forward to providing the best possible service for you and your customers.

Regards,
Everyone at SAMSON™® Juicers
A division of Greenbison, Inc.

*All fields are required*

The products I am interested in being a SAMSON Authorized Dealer for are:

Samson GB-9001 Juicer
Samson KPE-1301 Juicer
Both Juicers
Samson GBW-100/ GBW-300 Ultrasonic Washer
All Products

Legal Company Name:

Street Address:

City:

State:

Zip:

Billing Address:

(if different from above)

Shipping Address:

(if different from above)

Business Phone:

Toll Free:

Business Fax:

Would you prefer the weekly referral list faxed? Yes No

Business Email:

Would you prefer the weekly referral list e-mailed? Yes No

Business Website:

Will the Samson be sold at this website? Yes No

Date Business Started:

Days & Hours of Operation:

Who will be the buying or contact person(s):

Name and contact info of the company owner:

If more than one name listed above are you operating as:
Partner Corporation State where incorporated

Which of the following best describes your business:

Wholesaler Retail Store Catalogue House Chiropractor
Doctor Office Health Institute Home Business* Internet Dealer
Other (explain):

*We cannot refer potential customers to your location.

Are you currently purchasing products from other manufacturers / distributors?
Yes No

Please list distributor information below:

Name:		Name:
How Long:		How Long:
Phone:		Phone:
Address Line 1:		Address Line 1:
Address Line 2:		Address Line 2:

(This information may be used for future reference when considering credit terms. Credit terms are reserved for clients making larger, regular orders.)

Are you currently purchasing the SAMSON™® from other distributors?
Yes No

Please list distributor information below:

Name:		Name:
How Long:		How Long:
Phone:		Phone:
Address Line 1:		Address Line 1:
Address Line 2:		Address Line 2:

(This information may be used for future reference when considering credit terms.
Credit terms are reserved for clients making larger, regular orders.)