Business Partner Application Form

REQUIREMENT for all dealer candidates:
Please download the Non-disclosure agreement from the following link, sign it and fax it to LIBART at (604) 952-5160.

Dealer/Customer Information

*First Name:
*Last Name:
*Phone:
Address:
Fax:
*State/Province:
*Cell:
*City:
*E-mail:
*Country:
Company:
Website:
Postal Code:
 * required sections

Business Information

Years in Business:
Trade Reference/Name:
Type of business:
Trade Reference/Company:
Products Sold:
Trade Reference/Contact info:
Market:
Annual Sales:
How many people
do you currently employ?:
Do you have space for a showroom model?:
How many trade shows do
you attend (as an exhibitor)
per year and what are they?:
What Territory do you cover?:
(City/State/Province/County/Area Code).
Please be as specific as possible.

Contact Information

How did you find us?
GM/Owner (Name/Contact info)
Sales (Name/Contact info)
Purchasing (Name/Contact info)
Accounts (Name/Contact info)
Installation (Name/Contact info)
Notes:
hilights

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