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Dealer Signup

Please complete the form below if you would like to be listed as an Alpine certified dealer. Please note, listings are subject to approval. (* Indicates Required Field)

COMPANY INFORMATION
*Contact Name:
Title:
*Company:
*Address:
 
*City:
*State/Province:
*Zip Code:
*Phone Number:
Ex: 555-123-4567
*Fax Number:
Ex: 555-123-4567
*Email Address:
Website URL:
Ex: http://www.yourdomain.com
Do you have branch locations?     Yes No
What Counties/Regions/Territory does your company serve?
 
SURVEY (For Alpine's internal use only. Information provided below this point is strictly confidential.)
Do you have a Showroom?     Yes No

How many years have you been in business?

 

         

Does your company advertise commercial door products?

 

   

How many employees do you have currently?

 

         

How many installers do you currently employ?

 

             

How many service/installation vehicles do you currently utilized?

 

             

Do you provide 24 hour emergency repairs?    Yes No
 

Do you have an emergency number, (Please provide)?

Are your service/install vehicles equipped with welding machines?    Yes No
 

If so, how many?

Are you a Union company?    Yes No
 

If not, can you provide union labor?    Yes No

Is your company minority owned?    Yes No

What percentages (%) of all installation work are (A + B = 100%):
  % Residential vs. % Commercial
How many standard size (10’x10’) commercial doors can you install in a single day?
 

What is the maximum single contract dollar value your company will accept?
 
What is the company’s year sales volume gross? ($)
 
Would you like to open a credit account with Alpine Overhead Doors?    Yes No
 

If yes, what is the credit limit you would like to apply for? $

What credit card does your company accept?
     No, we do not accept credit cards
     Yes, we accept the following cards (Check all that apply):
 

Master Card Visa American Express Other(s):

Do you apply a surcharge for making payments via credit card?    Yes No
 

If yes, please provide the amount or percentage (%):