Distributor Application

Apply to become an authorized distributor of AAVAA’s cutting-edge technology. Join us in bringing innovative solutions in health and communication applications.

Primary Contact Information

First Name *

Last Name *

Title/Position *

Email Address *

Phone Number (If different from above)

Shipping Details (If different from above)

Warehouse Address (For shipping and receiving)

Country/Region

State/Province (If applicable)

City

Postal Code

Experience

Have you distributed assistive devices before? *

Yes

No

If yes, for how long? *

What types of assistive devices do you currently distribute? *

What is your target market for assistive devices? (e.g, healthcare facilities or individual consumers) *

Do you have a return policy for assistive devices? If yes, briefly describe: *

Financial Information

What is your estimated annual revenue from assistive device sales? *

What is the projected number of AAVAA devices you are looking to purchase? *

Compliance and Regulations

Are you familiar with the regulations governing assistive devices in your region? *

Yes

No

Collaboration/Partnership Goals

Which AAVAA Products are you interested in? (Check all that apply) *

Glasses

Headband

Headphones

Earbuds

How do you envision our products fitting into your current offerings? *

Additional Information

How did you hear about AAVAA Inc.? *

Please specify *

Is there anything else you would like to add? (Optional)

Thank you for applying to become a distributor for AAVAA. We’ve sent a confirmation email to you. A member of our sales team will be in touch within three business days. If you have any questions, feel free to reach out to info@aavaa.com

There was an error trying to send your message. Please try again later.

Discover AAVAA

AAVAA’s Journey in Revolutionizing Assistive Technologies – An Interview with FineEngineering Magazine
4th September 2024
AAVAA’s Smart Wearables Powered by Brain-Computer Interface Technology Are Redefining the Future of Device Control
28th May 2024
Launch of Brain-Computer Interface (BCI) Technology for Smart Glasses
12th March 2024

Distributor Application

Distributor Application

Company Information

Primary Contact Information

Shipping Details (If different from above)

Experience

Financial Information

Compliance and Regulations

Collaboration/Partnership Goals

Additional Information

Discover AAVAA