WindTronics

Dealer Application Form

 

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.

 

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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 the 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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