Customer Service Phone Form
Distributor Changes Test

Contact Us

For use only by Ecolab Customer Service. If you have arrived on this page by mistake, please call Customer Service at 1-800-352-5326

* indicates required field

Write the name of the Rep mentioned by the Prospect and to whom the ESR message has been sent.

Customer Information

Phone format must be written in the format (999) 999-9999

DO NOT use & (ampersand)! This prevents data from being properly transmitted to the salesforce case. Add additional information about the customer and their need/request, specifically the area of product interest. Please add any and all information that will help the field associate serve the customer promptly.

Distributor Information

If Institutional, ask the prospect if they use a foodservice distributor or lodging supply partner and note the name of the distributor/partner in the Distributor Name field.

If the Distributor Name is not included in the drop list, select "Other Distributor". This will open the Other Distributor Name field that has a drop list with more Distributor names.

If the Distributor name is not included in the Other Distributor Name drop list, then select "Other". A New Distributor Name Field will appear.

Please add the name of the new Distributor to the New Distributor Name field.

Agent Information

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