International Dealer Application

 

If you are located in North America (US, Canada, Mexico) please visit Altronics Energy (click here for application).  The North America dealer network is powered by Altronics Energy.  If you are located outside of North America please fill in the information below.

 

The intent of this form is to collect the necessary information for WindTronics™ to better understand your company. With this information WindTronics™ will be able to determine if your company meets the qualifications we are looking for. 


As a WindTronics Dealer we require an initial order of 4 units and a minimum annual commitment of 30 units.

 

Click here for help. 

Date *
Contact Name *
Will dealership be operated through: *
Complete Legal Company Name *
DBA (if applicable)
Physical Company Address *
City *
State
Country *
Zip Code
Telephone Number *
Fax Number
Email Address
Website
Dunn & Bradstreet Number
Tax ID Number *
Nature of Business *
Year Business Started *
Years under current ownership *
Size of population you service *
Type of Business *
Number of Employees *
Gross Prior Year Sales
What languages are spoken in your company and by whom? *
Purchasing Contact Name *
Purchasing Contact Phone Number *
Purchasing Contact Email Address *
Payables Contact Name *
Payables Contact Phone Number *
Payables Contact Email Address *
Are you currently a Dealer for: (check all that apply)
Do you offer Installation Services for the products your company sells?
If No was chosen above please explain
Does your company provide on-site after sales, service and support and if so, what does that include? *
What rebates/ incentives will your customers receive for wind system?
Please provide information about Permits, Ordinances and/ or Tariffs that impact your market: *
What is your cost per kWh? *
What is your average wind speed? *
Why do you believe there will be an interest for wind energy in your market? *
Please describe the availability of other "Small Wind" products in your area: *
What specific market place(s) do you intent to target? *
Why do you think your company will be successful dealer for WindTronics? *
Describe your advertising or promotional activities *
What business and trade licenses are required in your area? (Please send copies of such) *
What types of insurance does your company carry and at what level? *
Do you have a Partner? *
If Yes, Partner Name:
Partner Title:
% Owned of Business:
SSI / National ID #:
Contact Phone Number *
Street Address
City
State/ Province
Zip Code/ Postal Code
Country
Do you have another Partner? *
IF Yes, Partner Name:
Partner Title:
% Owned of Business:
SSI / National ID #:
Contact Phone Number *
Street Address
City
State/ Province
Zip Code/ Postal Code
Country
Reference Bank Name: *
Bank Account Number *
Contact Person at Bank: *
Bank Phone Number *
Bank Fax Number *
Email Address for Bank Contact: *
Vendor Reference - Name:
Account Number with Vendor
Vendor Contact Email
Vendor Contact Phone Number
Vendor Fax Number
Vendor Street Address
Vendor City
Vendor State/ Province
Vender Zip Code/ Postal Code
Vendor - Country
As a WindTronics Dealer we require an initial order of 4 units and a minimum annual commitment of 30 units. How do you plan to finance this product introduction and business start up? *
Comments:
You authorize WindTronics to complete a Bank and Vendor Reference Check *
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