Distributor Application Form

Applicant Overview

Please feel free to fill out this Distributor form, so we can help you in all your marine needs. We just fixed a mail server problem that we had in the last couple of days. Thank you.

*= Required

Full legal name of Applicant:* Company name:* Date incorporated or otherwise organized:* Place of incorporation or organization:* Applicant's office address:* Applicant's telephone number:* Applicant's website: Name(s) of owner (s) and officers of Applicant:* Address (es) of owner (s) and officers of Applicant:* Applicant's current business Product sold:* Years during which applicant has sold at this location:* Does supply warranties for these products:* 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?* 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

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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:* Are photos avaiable of this location? Yes No Have you been involved with a current or previous dealership or franchise?* Yes No Have you ever been terminated (by the manufacturer or distributor) as a dealer of any product?* Yes No If Yes, please provide:

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