Innovacon, Inc


We welcome your interest in joining our team. To assist us in evaluating your request, please complete the distributor application form below.


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Company / Business Name
Name and Position / Title
Phone (include country code)
Fax (include country code)
Web Site
Street Address
City, State, Zip
Which products are you interested in?
Do you currently sell rapid tests?
If so, who is the manufacturer(s)?
In which country / countries do you sell?
Market segment focus (Hospital, Physicians Office, Government, OTC, etc.)  
Approximate annual revenue $
Approximate number of sales staff
What US or international tradeshows do you attend?
How did you hear about Innovacon?
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Top©2015 Innovacon, Inc+1.858.805.89009975 Summers Ridge RoadSan Diego, CA 92121 USA