We are looking for a few good dealers to help us distribute the state-of-the-art Sani-Tech Auger Compactor around the country.

If you have a dedication to customer satisfaction, desire to succeed, integrity, sound business practices, a well-established business, full time sales and service capabilities, and the desire to think out-of-the-box please fill out the form below (or print a copy, fill it out and fax it to us).

Upon receipt of the completed form we will contact you with detailed information. We look forward to working with you!

Company Information Company Name Address City, State, Zip Phone FAX E-mail Company Principles   Name/Title Name/Title Name/Title Years In Business   1-5 6-10 10-15 over 15 Annual Gross Sales   0-50K      50-100K   100-150K 150-200K 200-250K 250-300K 300-350K 350-400K Over 400K Describe Products Sold (including type and brand name)   Number of Full Time Employees   Sales (Inside) 0 1-5 6-10 over 10 Sales (Outside) 0 1-5 6-10 over 10 Service/Install 0 1-5 6-10 over 10 Shop 0 1-5 6-10 over 10 Number of Service Trucks   0 1-5 6-10 over 10 Describe Your Installation & On-Site Fabrication Capabilities   Your Primary Business Activities     Waste Equipment Sales   Equipment Installation   Equipment Service   Fabricator   Waste Hauler   Recycler   Compactor Manufacturer   Baler Manufacturer   Other Activities Trade References (List 4 Major Accounts)   Name Address City, State, Zip Phone FAX Name Address City, State, Zip Phone FAX Name Address City, State, Zip Phone FAX Name Address City, State, Zip Phone FAX Authorization   I hereby authorize Sani-Tech Systems, Inc., or it's agents, to contact any banking, trade, or customer references listed above and any other sources deemed necessary for the purpose of extending credit privileges.   Applicant's Name