Dealer Applications
Company Information Company Name Year Founded Contact Name Title Address City Zip/Postal Code Region Phone Email Fax Website Address Number of Employees Annual Sales Do you publish a catalog? Yes No Do you have an outside sales force? Yes No If yes, how many reps do you have What is your preferred payment terms? Payment in Advance Credit Card Who is your preferred Freight Company? (Our dealers are responsible for freight, duties and taxes.) Market Information What is the geographic area you represent? What is your company's overall strategy Who is your primary target customer? Do you advertise? Yes No If yes, what publications? What industries do you serve? What companies do you represent?: What products do you represent?