Welcome to Superior Fiberglass!

 
Superior Fiberglass Dealer Application
 
Company Name
Applicants Name
Applicants Date Of Birth
 (mm/dd/yyyy)

Applicants Title

Company Address
Address Cont.
City
State
Zip
Phone
Fax
Mailing Address
Mailing Address Cont.
City
State
Zip
Date Business Started
(mm/dd/yyyy)
Primary Products and Services
Primary Brands / Suppliers
Website
Email
 
Do you have an existing store front? Yes No
Do you have a repair facility? Yes No
Will applicant be Sole Owner of Dealership? Yes No
Will applicant personally manage Superior Fiberglass at the dealership? Yes No
   
Which Superior Fiberglass Product line(s) are you interested in carrying?

(Check all that apply) 		Full Line
Blinds
Feeders
troughs
Parts / Service
   
Do you plan on retailing the Superior Fiberglass brand online Yes, online only
Yes, online and at store
No, store only
Website:
initial investment