A p p l i c a t i o n
Your Name:
Email Address:
Company Name:
Company URL:
Company Address:
City:   State:   Zip Code:
Country:
Phone:    Alternate Phone:
Fax:        Fax Orders to:
Email PO's to:
How Long have you been in business?
What types of products are you offering?
Are you the manufacturer?
How many products will be offered?
What address will the product be shipping from? (If different from above)
Company Address:
City:   State:   Zip Code:
Country:
Will your price sheets include shipping in the contiguous U.S.? (preferred)
What % of mark up can we expect priced competitively to the end user?
Do you have a national service & warranty policy established? (please describe)
Do your products require set up or training and, if so, how will that be handled? (please describe)
Are all or most of your products stock items?
Yes   No     If no, please explain
Are you willing to honor our return policy?
Yes   No     If no, please explain


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