If your Company or business project is located in Africa or the Middle East and you would like more information on our products, services, partnerships, pricing and programs, please complete one of the following application forms and the appropriate person will contact you.

Word Document - Distribution / Partner Application Form

1) Download the Word Document form by right clicking on the form link and choose "Save Target As"
2) Open the form and fill in the fields
3) Save the form.
4) Email the filled in form to partners@wallacedouglas.com

PDF Document - Distribution / Partner Application Form

1) Click on the PDF form link to open the form
2) Print the form and fill in the fields
3) Fax the completed form to us at 1 866 824 9877

Office Locations

Africa
Nairobi, Kenya:
Main Number: +254 736 749 480   or   +254 737 115 961
Email: AF@wallacedouglas.com

North America
Vancouver, Canada:
Main Number: 1 866 824 9877
Email: NA@wallacedouglas.com