Application Form

Exciting Business Opportunity !!

We are striving to become the leader in sustainable portable homes and we are looking for ambitious individuals or
businesses wanting to succeed, to join us and be the face of EBS Block in your region.


If you think there is a market for this product in your area, we would love to hear from you.

Tell us about yourself, your business (if applicable) and your ideas for EBS Block.


Please complete this form and attach relevant information as needed.


Contact Information

Tell us about your business

Distributing EBS-BLOCK

Outline your plans to successfully distribute the EBS-BLOCK

Geographic areas you will target 

Estimated unit sales per month


Wherever your Personal Information may be held within EBS Block, we intend to take reasonable and appropriate steps to protect the Personal Information that you share with us from unauthorized access or disclosure.


It is important for you to protect against unauthorized access to your password and to your computer. Be sure to sign off when finished using your member login if using a shared computer.


We Do Not Disclose to Third Parties

 All information obtained will be used for the sole purpose of completing your application for distribution and that none of this information will be sold, rented, leased, or otherwise released to any third party for any reason.


Your Consent to This Agreement: By using the EBS Block website, you consent to the collection and use of information by EBS Block as specified above. If we decide to change our privacy policy, we will post those changes on this page so that you are always aware of what information we collect, how we use it, and under what circumstances we disclose it



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