Dealership Application Form



Pleasse fill in the infomation below to apply for the dealership. Columns marked with * are required.

Business Name:
*
Person In Charge:
*
Business Address line 1:
*
Business Address line 2:
City:
*
State/Province:
*
Zip/Postal: Code:
*
Country:
E-Mail:
*
Work Phone:
* or/and
Home Phone:
FAX:
Fed Tax ID #:
*
Former Business Address (during last 5 years):
Type of Business:
*
Date Established:
Does the State, County or City require a license? If Yes, License #:
*
Number of Employees:
*
Number of Installers:
*
Annual Sales (last year) $:
*
Sales Area :
*
Other Products Sold:
Principals: Sole Proprietor Partnership Corporation

I'd like to receive promotions from Matco, Inc. via E-Mail or Fax.
 I don't want to receive any promotions from Matco, Inc. via E-Mail or Fax.

 

Name of the Authorized
Purchase Agent:
*

Additional Instructions or Comments:
 


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