Agent Application Form

Thank you for your interest in becoming an official agent of GIGONE LLC. This form helps us gain a comprehensive understanding of your company so we can explore potential collaboration more smoothly and effectively. Kindly provide accurate and complete information. This will help us evaluate your qualifications in a timely and professional manner. All information submitted will be treated in accordance with applicable data protection laws.

NOTE: GIGONE LLC is a Georgia-registered U.S. company. All agent applications are subject to the laws of the State of Georgia. Misrepresentation may result in disqualification or termination of any agreement.

A. Company Profile & Contact Information

Company Name

Country of Registration

Business Registration Number (if applicable)

Business regions (County and States)

Contact Person – Full Name & Title

Phone Number (including WhatsApp)

Email Address

Business Website (if available)

Years in Operation

Number of Employees

Languages Spoken by Key Staff

B. Business Overview

Type of Business Currently Provided (e.g., Portable Restrooms Rental Services)

Estimated Annual Revenue (USD, Approx.)
Less than $200,000$200,000-$500,000$500,000-$10,000,000More than $10,000,000

Storage Capacity (Size / Location)

Number of Portable Restrooms Currently Owned
1-5051-100More than 100Please specify exact number:

Do you have experience importing equipment from abroad?
NoYes

Are you registered on public procurement platforms?
NoYes, please list:

Do you have a growth or expansion plan?
NoYes, please describe:

C. Service & Market Reach

Services Provided (Check all that apply)
Portable Restroom RentalsEvent logisticsConstruction Support ServicesOther, please specify:

What areas/regions are you currently serving?

Describe your distribution capabilities (e.g., delivery range, turnaround time, local partners):

Do you work with other brands in this field?
NoYes, please list:

Do you have experience working with the government or on large-scale projects?
NoYes

D. Cooperation Intention

Preferred Form of Cooperation (Select one)
Exclusive AgentNon-exclusive DistributorProject-basedOther

Can your company provide local maintenance and/or cleaning services?
NoYesVia partner

What kind of technical support can you provide?
On-site setupRemote support onlyBothNone

Have you identified seasonal peaks in demand (e.g., festivals, construction, etc.)? Please specify:

E. Waste Disposal License & Regulatory Compliance

Do you currently hold a valid waste disposal or transport license in your area?
No – Skip to Section F.Yes – Please complete below.

License Number:

Issuing Authority

License Validity Period
From To

Scope of Authorization

Are there any additional licenses required in your region? If yes, please list

F. Rental Interest for Promotional Planning

How many Portable Restrooms do you plan to rent?

For how long do you plan to rent? (e.g., months, years)

G. Other Comments or Questions

Would you like your company logo to appear on the product?
NoYes

Please specify any customization requests (e.g., color, interior layout, features), or submit any questions, clarifications, or proposals below

H. Declaration

I confirm that all the above information is accurate and true to the best of my knowledge.
I understand that this application does not constitute a binding agreement.
I agree to comply with GIGONE LLC’s agency policies and acknowledge that any disputes shall be governed by the laws of the State of Georgia, USA.
I have read and agree to the GIGONE LLC Compliance Statement
I understand that all submitted information will be handled in accordance with applicable data protection regulations.

Date:

Agent Representative Name (Print):

Signature

Join us in redefining the future of Portable Restrooms – cleaner, greener, and more eficient

Thank you for your time. We look forward to a successful partnership!