Azimuth Dealer Sign up

Azimuth Solar Dealer Application

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

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* 1. Contact Information

Name *

Legal Company Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number

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* 2. Website

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* 3. Cell Number

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* 4. Shipping same as billing

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* 5. Ship to address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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* 6. How did you hear about us?

Referral

Search Engine

Facebook Ad

News or Magazine Article

Tradeshow or Event

Other (please specify)

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* 7. Type of Business

Solar Company

Recreational Vehicle Sales/Rentals

Tourism / Hotel / Tours / Lodge

Hardware Merchant

Marine Sales / Rentals

Construction / Renovations / Building

General Merchant

Other (please specify)

Azimuth Dealer Sign up

Azimuth Solar Dealer Application

Question Title

* 1. Contact Information

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* 2. Website

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* 3. Cell Number

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* 4. Shipping same as billing

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* 5. Ship to address:

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* 6. How did you hear about us?

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* 7. Type of Business

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* 8. Do you have a retail showroom?

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* 9. Do you sell other batteries?

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* 10. Number of Years in Business

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* 11. Number of People on Staff

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* 12. Do you do solar installations?

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* 13. Languages spoken / preferred:

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* 14. Anticipated Sales Volume