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Dealer Application
Please fill out the following form if you are interested in becoming a Dealer of Country Lane Gazebos.
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Indicated required fields
1. Company Information
Full Name:
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Company Name:
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Street Address:
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Street Address 2:
City:
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State:
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Zip:
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Lot Location:
Office Phone:
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Cell Phone:
Fax Number:
Email Address:
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2. Business Survey
Do you currently sell Gazebos?
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Yes
No
If yes; how many years?
If yes; have you sold wood, vinyl, or both?
If yes; who has been your supplier?
Do you have your own delivery service?
What other Products do you sell?
How long have you been in business?
3. References
Vendor Reference: (Name & Phone No.)
Bank Reference: (Name & Phone No.)
4. Questions or Comments
Dealer Login
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Become a Dealer
Address:
191 Jalyn Drive, New Holland, PA 17557
Phone:
(717) 351-9250 -
Fax:
(717) 351-9248 -
Email:
info@countrylanegazebos.com
© 2008, Country Lane Gazebos. All Rights Reserved.