Become a Authorize Dealer/Distributor
Thank you for your interest in the Centurio® Products European leading brand in Manufacture Tactical Assault Lights, and World Leading Manufacture of Urban Fighting Lights / Emergency Light. Our Dealer Program is a very friendly, no pressure program in which we are able to provide a great product selection to dealers both large and small. To receive additional information and to become a authorize dealer/distributor. The first step is to tell us about yourself and your company by completing and submitting the form below. The Second step is just fax/email us a copy of your business license or European Union customers his tax number. If we resaved all information we will make our final decision about you future with us and a Centurio® representative will contact you shortly.

IMPORTANT NOTE: If you are customer out of United Kingdom, Republic of Ireland, and the British Commonwealth (Excluded Royal Canada, Australia, New Zealand) please contact our British Technical Support Office direct for more information and don’t full out the form here. Click Here

1. General Info:
Company Name:
  *
Name:
  *
Address:
  *
City:
  *
State / Province:
  *
Country:
  *
Phone:
  *
Fax:
  *
Email:
  *


2. Sales channel:

Storefront (number of stores):
Sq. meters of Storefront:
# of employees:
Catalog (yearly quantity):
Outside Sales Reps (Numberr):
Years in business:
Other (please specify):


3. Your primary Customers / Markets (choose all that apply):
Campers / Hikers:
yes
Backpacking:
yes
Kayaking / Rafting:
yes
Hunting / Fishing:
yes
Paintball / Softair:
yes
Auto Mechanics:
yes
Aircraft / Watercraft Mechanics:
yes
Firefighters / Paramedics:
yes
Search & Rescue:
yes
Police / Prison Service / Border Patrol:
yes
Military / NATO / UN:
yes
Other (please specify):



4. Internet Informations :
Do you have a website?:
yes
If yes, enter URL:
Sell over Internet?:
yes


5. How did you hear about Centurio®?:
Magazine (please specify):
Trade Show (please specify):
Referral:
yes
Other (please specify):
Comments:
* Required field