RRS S.O.A.R Dealer Application

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* 1. Dealer Information

Point of Contact Name

Company Name

Company Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Point of Contact Email Address

Point of Contact Phone Number

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* 2. Website

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* 3. Estimated Annual Purchase Amount:

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* 4. What are your target market segments?

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* 5. Store type

Storefront (Brick and Mortar)

Ecommerce

Both