Unformatted text preview: Partnership Application Form
Thank you for your interest in becoming an authorized partner. Please fill out the application form below.
We will follow up with you after we review your application.
Please indicate how you would like to partner with us:
Distributor Manufacturer Agent Partnership Application Form
Company Contact Information
Address: City: State: ZIP: Country: Tel: Fax: E-mail: Website Address:
Owner/President’s Name: Company Background
Yrs in Business: Total Revenues: # Employees: # Offices: # Sales People: Industry/Industries Serviced: # Customers: Geographic Areas Serviced: Public or Privately Owned: Average Annual Revenue: $0 – $1M $1M - $5M >$5M Competition
List your top 4 competitors, by geographic area and product line:
4. Familiarity with Our Products
How long have you been familiar with our products?
0 – 2 Years 2 – 5 Years 5+ Years What other products do you currently carry?
What other qualifications do you have that will enab le you to sell our products?
Answer: What are your top 4 product lines by sales revenue, and for how long have you been a distributor for each
of these product lines?
Manufacturer: Product Line: Yr Revenue: Length of Relation: Manufacturer: Product Line: Yr Revenue: Length of Relation: Manufacturer: Product Line: Yr Revenue: Length of Relation: Manufacturer: Product Line: Yr Revenue: Length of Relation: Marketing Plans:
How do you intend to market our products to your potential and existi ng customer base?
Answer: Please attach a copy of your marketing plan. Sales Estimates:
Please provide your best estimate for the annual revenue you expect to sell per year for each product line:
Product Line 1.
Product Line 2.
Product Line 3.
Product Line 4. Consent
I hereby consent to the verification of any or all of the information above: Name of Applicant:
Title: Signature Date ...
View Full Document
This note was uploaded on 01/08/2011 for the course RTV 3208 taught by Professor Hendel during the Spring '10 term at University of Florida.
- Spring '10