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Distributor Application Form
Applicant Overview
*
= Required
Full legal name of Applicant:
*
Company name:
*
Date incorporated or otherwise organized:
*
Place of incorporation or organization:
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Applicant's office address:
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Applicant's telephone number:
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Applicant's website:
Name(s) of owner (s) and officers of Applicant:
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Address (es) of owner (s) and officers of Applicant:
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Applicant's current business Product sold:
*
Years during which applicant has sold at this location:
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Does supply warranties for these products:
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Market share:
Applicant's gross revenue from sales/distribution of products in applicant's most recently completed fiscal year:
*
Locations at which applicant proposes to sell
Dock Box Depot products:
Name of applicant's officers(s) to be responsible
Dock Box Depot sales:
Credit References. Apllicant shall authorize them
to reveal information
contact these credit references and
Dock Box Depot about Applicant's credit history:
Creditor Name:
Creditor Address:
Contact Name and telephone:
Complete this table by making "No" or "Yes"
Has applicant ever filed (or had filed against it) any petition in bankruptcy or other insolvency proceeding?
*
Yes
No
Is applicant subject to any claim in any pending litigation?
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Yes
No
Is applicant subject to any outstanding judgments?
*
Yes
No
Has applicant (or its property) ever been subject
to any tax lien?:
*
Yes
No
Has applicant ever been terminated (by the manufacturer or distributor) as a dealer of any product?:
*
Yes
No
Are any claims pending or threatened against applicant in which any governmental authority alleges breach of
any law or regulation?:
*
Yes
No
Has Applicant ever been convicted of any violation of
any law or regulation?:
*
Yes
No
Marketing Plan Overview.
Have you written a Marketing Plan for your
Dock Box Depot dealership?
Yes
No
Would you like a sample Marketing Plan
to help you write your own?
Yes
No
Tell us, in general terms, the advantages of your chosen location and the markets you plan to target
Tell us the mix of consumer versus commercial business that you plan to have. What inventory mix do you envision?
Primarily Dock Box Depot? Lots of accessories?
Other marine product?
Do you know of other Dock Box Depot-related
activity in the area?
Yes
No
By submitting this web form you agree with our terms & policies. To view our Terms and Policies please click Here
To view the Acknowledgements and Certifications please Click Here
Proposed Dealer Location
Where do you plan on establish a Dock Box Depot Dealership?
*
What is the address of the proposed Dock Box Depot Dealership?
Are you planning more than one location at this time?
Where is the nearest existing Dock Box Depot dealership and how far away are you planning to be located?
Is the planned Dox Box Depot dealership part of an existing
dealership of other products? What are the other products offered?
Will this facility be rented or leased?
*
Yes
No
Annual rent:
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Are photos avaiable of this location?
Yes
No
Have you been involved with a current or
previous dealership or franchise?
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Yes
No
Have you ever been terminated (by the manufacturer or distributor) as a dealer of any product?
*
Yes
No
If Yes, please provide:
