Reseller Application

Contact Details

Your Full Name*

Company Name*

Job Title*

Email*

Street Address*

City

State

Zip Code

Country

Phone Number*

Company Information

Company Web URL*

Year Company Established*

Accounts Payable Email (For Invoicing)*

What description best suits your company?*
Online RetailerBrick / Mortar RetailerPro A/V IntegratorRentalsDistributor

Comments

Briefly describe your company's primary business focus.*

Please list some of the product lines you currently offer.*

Describe your company's geographic coverage (i.e. Where do you have offices or resources to provide local support in sales and service?)*

Where are the majority of your customers located? (i.e. their geographic location)*

How do you promote or market your company? Mail, web, combination? Please provide links to online content if possible.*

What type of training, if any, do you provide your staff / sales staff when you acquire a new product line?*

Are most of your sales completed online or at a physical location?*

Value Proposition

Please explain how you believe our products would add value to your current product offerings?*

Do you currently sell any products overlapping or competing with Draco Broadcast products?*

Briefly list the value provided and the resources that would be committed to ensure a successful relationship.*

Please provide any additional information that may be pertinent to helping us consider your application.*

Miscellaneous

How did you hear about us?*
Google / SearchCustomer InquiryMagazineTrade ShowSocial MediaOther

If "Other" please specify

I understand that completing this reseller application is not an authorization to sell or market Draco Broadcast products. Further, this application does not enter Draco Broadcast into any legally binding contract.*

Thank you for taking the time to fill out the application and your interest in becoming a Draco Broadcast Reseller! Someone will be contacting you shortly with the next steps in completing the application process.​