Azimuth Solar Dealer Application

General information application to become an Azimuth Solar Products authorized distributor. 

Contact Information

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* 1. Contact Information

Website

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* 2. Website

Cell Number

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* 3. Cell Number

Ship to address:

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* 5. Ship to address:

How did you hear about us?

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* 6. How did you hear about us?

Type of Business

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* 7. Type of Business

Number of Years in Business

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* 10. Number of Years in Business

Number of People on Staff

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* 11. Number of People on Staff

Do you do solar installations?

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* 12. Do you do solar installations?

Languages spoken / preferred:

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* 13. Languages spoken / preferred:

Anticipated Sales Volume

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* 14. Anticipated Sales Volume

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