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Dealer Application
For the Partner Security Products Dealer Program

Thank you for your interest in becoming an authorized dealer for Partner Security Products.

This application covers three areas.
1. Organizational structure and primary market
2. Current products and volumes
3. Your Distributor

Please note:
All sections must be completed in their entirety.
Any incomplete applications will not be processed.

 
Application for Dealership
Please complete all sections.
Company Name
Address
City
State (Province)
ZIP Code (Postal Code)
Contact Person
Telephone #
FAX # (optional)
E-mail Address
Web Site Address
Section 1: Organizational Structure and Primary Market
Principals / Owners of the Company
Name:
Title:
Name:
Title:
Name:
Title:
Number of Years in Business:
Number of Sales Representatives:
Number of Service Technician:
Number of Installation Technicians:
Total Number of Employees:
Market Split - Please indicate your percentage of business.
Residential %
Average Order Value
Commercial %
Average Order Value
Industrial %
Average Order Value
If your business has multiple locations, list all branch names and address.
1. (optional)
2. (optional)
3. (optional)
4. (optional)
5. (optional)
6. (optional)
List your requested territory by County and State / City and Province.
1.
2.
3.
4.
5.
6.
Section 2: Current Products and Volumes
Current Panel Usage (all manufacturers)
Brand
Model
Average Monthly Volume (units)
Anticipated monthly Partner panel usage:
Currently involved in a dealer program?
Yes: No:  
If Yes, which program?
Central Station
If you operate your own central station, what model(s) of receiver(s)
do you use?
1. (optional)
2. (optional)
3. (optional)
4. (optional)
5. (optional)
6. (optional)
What central station software package do you use?
1. (optional)
2. (optional)
3. (optional)
4. (optional)
5. (optional)
6. (optional)
Section 3: Your Distributor
Name of Distributor:
Address:
Contact Person :
 
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