Global Solarium: Dealer Inquiry Form

Company Name

Contact Person

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Fax

Website URL

License #

Resale #

Current Sunroom Suppliers
1.

Type of Entity

If other, please identify

Names of Partners or Corporate Officers

Years in Business

Type of Business

Number of Employees

Number of Sales Staff

Place of Operation

Please list 3 trade references whom we can contact. PLEASE INCLUDE PHONE NUMBERS.
1.

Trade References
3.

TRADE REFERENCES
2.

Current Sunroom Suppliers
3.

Current Sunroom Suppliers
2.