Dealership Program

Your Name: * First Last
Company/Business Name: *
Email: *
Phone: *
Address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Web Site URL (if you have one):
1. Do you currently have an active business? No. If you had answered NO, enter N/A for questions 2-3, and continue. Yes
If Yes above, please describe the nature of your primary business, and provide as much detail as possible
2. How long have you been in this business? *
3. What is the gross annual revenue of your primary business? *
4. What is your main purpose for becoming an Alpine dealer? * Extra income stream, to supplement my primary business Building Alpine Air dealership as my primary business
5. What business experience do you have to help you build a successful Alpine Air dealership? *
6. What skill set do you have to help you build a successful Alpine Air dealership? *
7. What sales experience do you have to help you build a successful Alpine Air dealership? *
8. What is your business plan or vision to build a successful Alpine Air dealership? *
9. What are your goals for Alpine Air dealership? *
10. How do you plan to get started and establish your Alpine Air business? *
11. How soon do you plan to get started? *
12. How do you plan to distribute Alpine air purifiers? *
13. How do you plan to advertise/promote Alpine air purifiers? *
14. How much liquid start-up capital do you have to get started?
(This includes Cash and/or Credit; $500-$1000 USD is the minimum requirement, since $1000 USD is the average it takes to qualify as and become an active dealer; you maybe asked to verify the funds upon approval) * 0-$500 $500-$1000 $1000-$2000 $2500-$5000 $5000+
15. Will you be conducting your Alpine Air business by yourself or with the help of others? * By myself With help of others (i.e. business partners, family or friends, etc.)
16. Why do you feel you will be a good match for our company? *
17. What personal qualities/attributes do you have that you consider an asset? *
18. Do you currently own any one of our products? * No. Yes.
If Yes above, list the product(s) here:
Important:

Check here to confirm you have actually read the Dealership Program Agreement and understand and agree to all of its terms and conditions. By checking here you acknowledge you have read and understood Dealer agreement and you will abide by its terms and conditions. You cannot sign-up without having read this agreement and providing your confirmation, which in essence becomes your signature. If you violate any of the provisions and/or policies listed within the Dealer agreement, your dealership will be suspended immediately.
Acknowledgment: * I have read and agree to the terms and conditions of this agreement.
Note:

Our Dealership program is open to USA and CANADA only at this time. However, if you are located in any other country and have the necessary capital, knowledge, and experience to establish new markets, please submit a detailed proposal for our consideration with your application. Without detailed proposal and/or business plan, your application will not be considered!
New:

We will consider granting exclusive/protected territory to high-volume dealers maintaining a certain monthly sales volume throughout the year! This opportunity maybe offered to those dealers who qualify, after 6 months of consistent high sales volume, to be determined by us and at our discretion.
Type the letters you see in the image below.

Dealership Program

Dealership Program

Important:

Note:

New: