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Dealer/Distributor Application Form

All information will be treated as confidential and used solely for the purpose of determining how we may best serve your account.

Fields with maroon * are required.
Please do not leave any required fields blank. Enter "none" if not applicable.

Click here for a printable version of this form.


I'm Interested in becoming a (choose one) *


Communication

Company Information

Company Name *
Contact Person *
Telephone *
Email Address *
Fax Number
Mailing Address

Address Line 1 *
Address Line 2
City *
State/Province *
Country *
Zip/Postal Code *
Shipping Address (if different than mailing address)

Address Line 1
Address Line 2
City
State/Province
Country
Zip/Postal Code

Company Background

Number of Years in Window Film Business *
Percent of Business Related to Window Film *
%
Customer Locations
(List of Countries)
Describe Your Company (choose one) *




Trade Reference 1
Company Name
Contact Person
Fax Number
Trade Reference 2
Company Name
Contact Person
Fax Number
BankReference
Company Name
Account Number
Fax Number

Purchasing History

Have you purchased window film from other supplier/manufacturers? *
If yes, who supplied/manufactured the film?
Other
Are you satisfied with the product quality and service you received??
If no, why not?
What is your preferred method of payment?
(choose one)


Purchase Plan

Which products will you consider purchasing in the next six months? *
(check all that apply)




Would you like to receive complimentary film sample booklets?
(check all that apply)




Estimated annual purchase volume (in USD) *
$
Estimated initial order (in USD) *
$
Do you have any additional specific interests?

Marketing Activities

Where will you sell the film you purchase from Solutia?
(Please indicate the estimated percentage of sales in each category):
No One (Install Film Directly)
%
Other Sub Distributors
%
Auto Film Installers
%
Residential Film Installers
%
Commercial Film Installers
%
Glass Companies
%
Glaziers
%
Other
%
Other
%
How many salespeople are responsible for developing the window film business in your company?
What other products does your company import?
Will you sell our product using your own brand name(s)?
If yes, what are your brand names?
Will you create brochures to promote our products?
If yes, what languages will you use?
Will you advertise in newspapers, magazines or on radio to promote our products?
If yes, what media will you use?
What is your annual advertising budget for your window film business (in USD)?
$

Submit Application

Thank you for completing this application.
Please click the button below to submit the information.

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