Wonderkin Distributor Sign-Up Form

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Thank you for your interests. This form is a registration form for potential distributors with interests in distributing and selling our smart devices in their countries or regions. Please complete this registration form so we can proceed with further discussions and partnership.

Email *

Name of the contact person *

What is the name of your company? *

In what year is your company incorporated in?

YYYY

Which countries are you currently selling products in? *

What kind of businesses do you serve *

Hospitals or clinics

Nursing or elderly care homes

Retail companies ( pharmacies or other stores)

Other:

How many clients have you served in the past *

1-5

6-10

More than 10

0, but actively looking for products

How do you currently reach out to the target market?

What solutions would you be interested in distributing/ selling for us? *

Nice Care Smart Elderly Monitoring System - For Nursing Home

Wonderfolks/ Nice Care Smart Adult Diapers - For Individual Use

Wondermom Smart Baby Diapers - For Individual Use

Other:

Required

Will you use our Nice Care Smart Elderly Monitoring System API? *

Yes

Send me a copy of my responses.

Submit

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