Application for U.S. Sales Representatives

This information is necessary for us to be able to correspond with you and provide you with the information that you requested. We will not release this information to any outside source and your information will be kept for contact purposes only.

CONTACT PERSON & TITLE

ORGANIZATION NAME

TYPE OF ORGANIZATION
          Corporation
          Partnership
          Sole Proprietor
          LLC
DAYTIME PHONE

FAX

E-MAIL ADDRESS

WEB PAGE ADDRESS

STREET ADDRESS OF MAIN OFFICE

ADDRESS

CITY

STATE / PROVINCE

POSTAL CODE / ZIP


INTEREST
          Commercial Sales                   
          Commercial Installation               
          Residential Installation

ARE YOU CURRENTLY MARKETING IN THE PLAYGROUND OR RELATED INDUSTRY?
                         Yes              No

CURRENT OPERATIONS:
          Retail                 
          Wholesale (Distributor)        
          Commercial           
          Manufacturer              
          Other

CURRENT CUSTOMER BASE (SCHOOLS, PARKS, RETAIL CUSTOMERS, DAY CARE):

WHAT STATES / REGIONS / CITIES DO YOU CURRENTLY OR PLAN TO SELL TO?

LENGTH OF TIME OPERATING IN CURRENT MARKET:

LIST ALL MANUFACTURERS / PRODUCT LINES THAT YOU CURRENTLY REPRESENT, OR HAVE REPRESENTED IN THE PAST 12 MONTHS:

ARE YOU CURRENTLY UNDER A CONTRACT WITH ANOTHER MANUFACTURER? IF SO, WHO?:

CURRENT SALES VOLUME / YEAR:

HOW DO YOU INTEND TO RE-SELL PLAY MART PRODUCTS?:

HOW MANY SALES PEOPLE WILL YOU EMPLOY TO MARKET PLAY MART PRODUCTS?

1-3 3-5 5-7 7-11 11-15 15-20 20+

WILL YOU INSTALL PLAYGROUND EQUIPMENT YOURSELF OR WILL YOU ARRANGE THE INSTALLATION?

COMMENTS