Distributor Application Form We're glad your interested in becoming a Halo EFX Distributor! Halo EFX is expanding into new markets, securing several key distribution partnerships around the globe. Let's figure out how we can work together to help grow this exciting new industry! Company Name: Street Address: City/State/Zip: Contact Phone #: Email Address: Company Website: Tax ID #: Distribution Level: 1: 100 - 300 Gallons 2: 301 - 500 Gallons 3: 501 - Plus Gallons Tell us a little about yourself and your company: Please enter the following code into the box provided: