YES by decree

VIEWS: 4 PAGES: 2

									          YES!             I want to be a Canadian Dealer of Crystal Cable.
                         If you can answer “yes” to the following questions, congratulations,
                           you’re on your way to becoming a Crystal Cable Canada Dealer!


                             I understand that by submitting this form, my information will be kept
            yes
                             strictly confidential.

                           My business is brick and mortar specific.
            yes
                           (i.e., I do not conduct my business over the Internet)
            yes            I currently represent reputable product lines in the audio category.

            yes            I currently represent reputable product lines in the video category.


Company information:



Company Name




PST Number                                                                          Date of Incorporation   dd-m-yyyy



Company Website                                                                     Company Email (main)



Number of locations                                                                   Total number of sales staff



Billing address:                                                                     Primary shipping address:
(no P.O. boxes please)
                                                                                                    same as billing


Street                                                        Street


City / Province                                               City / Province


Postal Code                                                   Postal Code

Contact information:


Your name                                                     Alternate Contact Name


Your phone number                                             Alternate Contact Phone Number


Your alternate number


Your email address                                                                         you’re almost done…




                                                                                                       Page 1 of 2
Your preferred method of payment: (i.e., yours, not your customers’)


     VISA               MasterCard                   Cheque




Q:    Please provide your company’s mission statement.




Q:    Which AUDIO product lines do you currently represent?




Q:    Which VIDEO product lines do you currently represent?




Q:     Have you experienced Crystal Cable’s performance? What did you think?




Q:    Why do you wish to represent the Crystal Cable product line?




                                              Thank you.

            Please ‘Save’ your completed form and then email it to Audio Basics Inc.
                     You will receive a formal contact to discuss the details.

                                     contact@audiobasics.com




                                                                                  Page 2 of 2

								
To top