Live-update, Kleandrink Authorized Dealer List coming soon.

Authorized Dealer Form

To become a Kleandrink Authorized Dealer, please complete the form below, and digitally acknowledge our Kleandrink Authorized Dealer Policy.

By submitting this form, you confirm your agreement to comply with our policy, including restrictions on third-party marketplace sales (Amazon, eBay, Walmart.com, etc.) and adherence to our Unilateral Pricing Policy (UPP) found here.

Business Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Primary Contact Name

Primary Contact Email

Website URL

http://

Distributor Reference

Agreement: Policy Acceptance

I acknowledge that I have read and agree to comply with Savior Products, Inc.'s "Kleandrink Authorized Dealer Policy." I understand that selling Kleandrink on third-party marketplaces (including Amazon, eBay, Walmart.com, and similar sites) without prior written consent from Savior Products, Inc. is prohibited.

Agreement: Failure to Comply

I understand that failure to comply with this policy may result in immediate revocation of my Kleandrink Authorized Dealer status.

Digital Signature - Authorized Signatory Name

Title/Position

Authorized Dealer Form

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