Customer Approval Request

Please fill out the form to request approval to contact a customer outside of your territory.

BioSphere Plastic LLC
4804 NW Bethany Blvd
STE I-2, 233
Portland, Oregon USA
97229-4982

+1 503 530 8674 [email protected]

BioSphere Plastic LLC
4804 NW Bethany Blvd
STE I-2, 233
Portland, Oregon USA
97229-4982

+1 503 530 8674 [email protected]

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Agent Company*

Agent Name*

First Last

Agent Email Address*

What is the nature of your relationship with the company?*

Have you ever sold this company a product before? If so, how long ago?*

Customer Name*

Product Application/Resin*

Customer HQ Address*

State / Province / Region Country

Customer Manufacturing Locations (Countries)*

Comments

Date Submitted*

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