Become a distributor

Thank you for your interest in distributing Life Science Group products. Please complete the questionnaire below so we can learn about your business, your territory and the customers you serve. Fields marked * are required. Our team will review your details and be in touch.

Please provide: Company Name: Street Address: City/State/Province: Postal Code: Country:
Primary Contact
Please indicate below, your type of business, are you a:
Please select all sales tactics you deploy in your territories:
How do you promote your product lines in general?
What customer segments do you serve?
What products are most interesting/relevant for your market?
Please provide: Business Name: Address: Contact Name: Contact Telephone:
Who is responsible for payment of invoices within your organisation?
Person to Contact