Associate Application

A Message from Peter Stein, Managing Director — Energy Saving Solutions


Your Contact Information
Please tell us more about yourself.
Please note, if you answered “Yes” and a spouse and/or partner(s) will be active in the business, each person will
need to fill out a separate application form.
Employment history
Additional background information.
Before approval of a distributorship, we will need authorization to run a credit check.

Thank you for your application.

By submitting this initial inquiry I certify that all information is true and complete. I understand and agree that my submission of this initial inquiry does not constitute an offer to purchase, nor an undertaking to grant a distributorship by either party. I further understand that this initial inquiry shall be made a part of my distributorship application, if I decide to submit one upon request of Energy Saving Solutions. I further understand that (i) submission of this inquiry form does not obligate either me or ESS to proceed with the possible purchase or sale of a distributorship, (ii) the offer of a distributorship is only commenced by our delivery of an agreement to you in compliance with applicable law, including, without limitation, various state laws regulating the sale of distributorships; and (iii) the sale of a distributorship can only be completed by both parties signing an agreement. ESS does not run any credit or background checks until we have your authorization. All of your information will be kept confidential.


By submitting this application I agree to receive periodic e-mails from Energy Saving Solutions regarding this application, information about the company or industry, and other offers they may have. We are committed to protecting your privacy.


Privacy Policy: The information you enter on our site is held in confidence between you and us. We do not sell, trade, or rent your personal information to others.