Reseller Application

Please tell us about you. Please select the program you'd like to know about. All information is kept in confidence.

* Required Field

Desired Role

Reseller Level*:

Affiliate

Dealer

Distributor

About Your Business

Business Name*:
Owner Name*:
Shipping Address*:
City, State, Zip*:
Type of Business*:
Years in Business*:
How did you hear about us?

Contact Information

Phone Number*:
Cell Number*:
Fax Number:
Email Address*:
Website Address:

Which Products Would You Like to Represent?*

Please choose which products you would like to represent.*

Personal Care Products
- TerraMin^®
- TerraSilk^™
- TerraBathe^™
- TerraPak^®

Pet Care Products
- Nutramin^® for Dogs
- Nutramin^® for Cats
- Nutramin^® for Birds
- Nutramin^® for Horses
- TerraPond^™
- EarthFood^™

We require a minimum order, reorder, and annual volume per brand group listed above, in order for our Resellers to continue to represent our products.

What are your annual sales goals per brand group that you wish to represent?*

Your Experience

How did you discover California Earth Minerals Corporation?

Have you tried our products? If so, what dealer or distributor do you buy from?

Have you tried other clays, minerals, detox or purification products? If so, what brands?

What do you like about our products so far?

How can we improve our service, products, or communications (web, literature, etc.)?