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Become an Official GLYCORA Distributor

Would you like to join our global network of partners and market a trusted and high-demand natural supplement?
We are pleased to accept agency applications from individuals and companies interested in distributing GLYCORA in their countries, a 100% natural dietary supplement.
GLYCORA has been developed to support appetite regulation, reduce sugar intake, and contribute to better overall health.
Please fill out the form below accurately, and our team will review your application and contact you shortly.

    Basic Information

    Full Name:

    Company / Organization Name (optional):

    Country / City (optional):

    Phone Number:

    Email Address:

    Website or Social Media Links (optional):

    Business & Marketing Experience

    Do you have previous experience in the field of dietary supplements or health products?

    If yes, please specify the type and duration of experience:

    Do you own or manage retail outlets, pharmacies, or an online store?

    Please provide details:

    Have you previously collaborated with similar brands? If yes, please mention their names:

    Market Information & Distribution Capability

    What is the estimated market size for this type of product in your country?

    What is your initial marketing plan for the product?

    Do you have a sales team or distribution partners?

    If yes, please provide the number of team members and their geographical coverage:

    Agency Request Details

    Are you requesting an exclusive agency?

    Which region(s) are you requesting the agency for? (Country/Specific territory)

    Additional Notes

    Please include any information you consider important to support your application: