Become a Distribution Partner

First Name

Last Name

Phone

Do you currently have relationships with landlords?

Yes

If so, how many? (Landlords)

How many years experience do you have owning and operating a business?

City

State

If you know what zip codes you’re interested in purchasing, please list them here.

Can you as the owner or prospective owner pass a full criminal background check?

Yes

What is your estimated net worth?

$100,000-$500,000

$500,000-$1,000,000

$1,000,000-$2,000,000

$2,000,000-$3,000,000

$3,000,000-$4,000,000

$4,000,000-$5,000,000

Do you personally have at least $100,000 in cash or have the ability to obtain a loan to purchase the exclusive rights to join the Exclusive Distributor Program?

Yes

As part of the Exclusive Distributor Program, you will be required to purchase or lease at least one Energy Boss branded truck from Energy Boss. Is this something you're willing to do?

Yes

Which of the following services are you interested in buying exclusive zip codes for?

Residential

Commercial