⭐ COTOPIA – Distributor Application Form

Exclusive Access • Invitation Only

Thank you for your interest in becoming an official Cotopia Distributor.

Please complete this application accurately. All applications are reviewed individually.

Upon approval, you will receive your Intro Kit (EULA + NDA + Overview) for signature.

🔵 Section 1 — Contact Information

Full Legal Name:

Preferred Name:

Email Address:

Phone Number:

Company Name (if applicable):

Business Address:

City / State / ZIP:

Country:

🔵 Section 2 — Business Profile

  1. How did you hear about Cotopia?

☐ Social Media

☐ Referral

☐ Advertisement

☐ Other: __________________

  1. Have you ever worked as a distributor, affiliate, or sales representative?

☐ Yes

☐ No

If yes, please describe briefly: _________________________________________

  1. What interests you most about the Cotopia distributor program?

☐ Residual income

☐ Exclusive product access

☐ Marketing & branding support

☐ Building a team

☐ Other: ___________________________________

  1. What is your estimated monthly time commitment?

☐ 5–10 hrs/week

☐ 10–20 hrs/week

☐ 20+ hrs/week

🔵 Section 3 — Operations & Readiness

  1. Do you already manage any online sales channels?

☐ Facebook

☐ Instagram

☐ TikTok

☐ Website

☐ None

☐ Other: _____________________

  1. Do you have experience with:

(Select all that apply)

☐ Customer service

☐ Basic marketing

☐ Community building

☐ Content creation

☐ Team leadership

  1. Do you plan to build a team under you (sub-distributors)?

☐ Yes

☐ No

☐ Maybe later

🔵 Section 4 — Compliance & Eligibility

  1. Are you willing to sign our NDA and EULA before receiving access to Cotopia systems?

☐ Yes

☐ No

  1. Are you legally eligible to operate as an independent distributor in your location?

☐ Yes

☐ No

  1. Do you understand that Cotopia is an exclusive, invitation-only distributor network?

☐ Yes

☐ No

🔵 Section 5 — Payment & Activation Preparation

(This is not a payment form — this confirms readiness)

  1. Are you prepared to submit the activation payment after onboarding acceptance?

☐ Yes

☐ No

  1. Do you understand you will receive the following in sequence?

✔ Intro Kit → NDA/EULA

✔ Onboarding Kit → Master Partner Agreement + Exhibits + Tax Docs

✔ Brand Assets Kit → Products, flyers, templates, posting guides

✔ Ongoing training + backend support

☐ Yes

☐ No

🔵 Section 6 — Final Confirmation

  1. Why do you believe you are a strong fit for Cotopia’s distributor network?

(Short paragraph)

Digital Signature: _________________________

Date: _______________