|
Part
1
|
(all reseller candidates fill this out) |
|
Name
of Individual or Organization
|
______________________________________________________________
(required) |
|
Address
Line 1
|
______________________________________________________________
(required) |
|
Address
Line 2
|
______________________________________________________________ |
|
City
|
____________________________________ (required) |
|
State
|
____________________________________ (required) |
|
Zip
Code
|
____________________________________ (required) |
|
Country
|
______________________________________________________________
(required) |
|
Home
Phone
|
____________________________________ (required) |
|
Cell
Phone
|
____________________________________ |
|
Email
|
______________________________________________________________
(required) |
|
Have
you ever sold anything you liked as a product or had success with?
|
_________________ |
|
If
Yes, please describe:
|
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
|
|
How
did you learn of ECOsmarte?
|
______________________________________________________________ |
|
What
territory would you like to represent us in?
|
______________________________________________________________ |
|
Which
structure interests you?
|
______________________________________________________________ |
| |
|
|
PART
2
|
(distributor candidates must also fill this section out) |
|
What
are your current annual gross sales?
|
____________________________________ |
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Do
you currently sell to dealers?
|
____________________________________ |
|
If
so, how many?
|
_________________ |
|
How
would you create new dealers?
|
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
|
|
What
is your website address?
|
______________________________________________________________ |
|
Can
you submit a marketing plan?
|
______________________________________________________________ |
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Why
would we want you to be our distributor?
|
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
|
|
What
would you project your annual purchases in units to be?
|
______________________________________________________________ |
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What
products do you currently sell?
|
______________________________________________________________ |
|
Any
commercial references?
|
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
|
|
Are
you capable of on-site mechanical support within the entire target
territory?
|
______________________________________________________________ |
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If
not, do you have relationships with any service or mechanical companies?
|
_________________
|
|
Who?
|
______________________________________________________________
|
|
Please
indicate who
would be in charge of:
|
|
|
Sales/Marketing?
|
______________________________________________________________ |
|
Water
Chemistry?
|
______________________________________________________________ |
|
Mechanical
Service?
|
______________________________________________________________ |
|
Finance?
|
______________________________________________________________ |
|
Please
furnish a photograph of your facilities or storefront and your lead
service vehicle.
|
