International Distributor Application

Date of Application

Registered Business Name

Do you conduct business under any other names?

Street Address*

Address Line 2

City*

State*

Zip Code*

Country

Primary Contact

Last Name

Primary Contact Phone

Primary Contact Email

Secondary Contact

Last Name

Secondary Contact Email

Secondary Contact Phone

Business Email Address

Website

Business Phone (including country code)

Retail

Number of Retail Locations

Average Size of Store(s) in Square Feet

Do You Sell Online?

Yes

No

Plan To

Online Store URL

Annual Retail Sales Volume (USD $)

Annual Online Sales Volume (USD $)

Number of Employees

Number of Years in Industry

Number of Sales Representatives

Current Number of Active Customers on File

Number of Customer Service Representatives

Number of Warehouses

Into which countries do you actively market, sell, ship, distribute and/or attend conferences?

Select what best describes your current product offering (select all that apply)

Bicycles

Bicycle Components

Baby Products

Outdoor Equipment

Sporting Goods

Other

Other (Please describe)

Which brand of trailers does your company distribute?

How many trailer units do you sell per year?

Which brands of joggers/strollers does your company distribute?

How many units do you sell per year?

Marketing Efforts

Do you produce a catalog?

If yes, please include a catalog and any other print materials with your application at the end of this form.

Do you display at any tradeshows?

Do you employ sales or marketing representatives who call customers?

Trade References
Please list three US based companies with whom you have done business in the last 12 months. Application will not be processed without this information.

Business Name

Address

Phone

Fax

Email

Contact Name and Title

Type of Business

Account Number

Business Name

Address

Phone

Fax

Email

Contact Name and Title

Type of Business

Account Number

Business Name

Address

Phone

Fax

Email

Contact Name and Title

Type of Business

Account Number

Financial References
Please provide your banking reference locally and in the United States, if possible.

Business Name

Address

Phone

Fax

Email

Contact Name and Title

Type of Business

Account Number

Business Name

Address

Phone

Fax

Email

Contact Name and Title

Type of Business

Account Number

FILE UPLOAD:

Catalog/Other Printed Material
Please attach samples of catalogs and any other print materials that you produce.

Attach File

International Distributor Application

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