Dealer Application

1. Company Information
Full Name: *
Company Name: *
Street Address: *
Street Address 2:
City: *
State: *
Zip: *
Lot Location:
Office Phone: *
Cell Phone:
Fax Number:
Email Address: *
2. Business Survey
Do you currently sell Gazebos? *	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