Dealer

Business Information

Name of Business:

Type of Business:

Distributor - Wholesaler
Retailer - Single Outlet
Retailer - Chain

Number of Locations:

How many of your employees are salespeople:

My business produces a catalog (retail or wholesale):

Yes
No

Geographic area of operation (you may list more than one):

Are you able to cover the entire country that you intend to serve:

Yes
No

Years in business:

References - list any distributors or other brands you you have worked with and how long you have worked with them:

Do you currently sell any products that will compete directly with our current product portfolio? If so, please specify brand and product name(s):

Projected annual volume (in thousands USD):

VAT number:

Please review the listed types of retailers and choose a ‘1’ next to the retailer type that you will sell the most quantity to, type a ‘2’ next to the second largest retailer type, and so on until all retailers have a “rank” for your country:

Multi-Store Discount/Mass Retailers (Pet Superstores):

Multi-Store Pet Product Retailers:

Individual Pet Retailers:

Supermarkets (Grocery):

Home Improvement/Garden Stores:

Mail Order/Internet:

Veterinary Clinics:

What types of retailers do you plan to sell to? (Check all that apply):

If other, please specify:

What type of advertising/promotion do you utilize:

If other, please specify:

Contact Information

Your title:

Honorific:

Your name:

Your phone number:

+

Your email address:

Additional email addresses:

Address Information

Primary website:

Additional website addresses:

Retail address (Number, Street, City, Province, Zip):

Retail address country:

Mailing address (Number, Street, City, Province, Zip):

Mailing address country:

Shipping address (Number, Street, City, Province, Zip):

Shipping address country:

Please upload a photo of your store (10mb max):

Upload:

Radio Systems Dealer Application

Business Information

Please review the listed types of retailers and choose a ‘1’ next to the retailer type that you will sell the most quantity to, type a ‘2’ next to the second largest retailer type, and so on until all retailers have a “rank” for your country:

Contact Information

Address Information