Distributor Application

Banking Information
Any Bankruptcy in the Last 10 Years*
- Yes
- No
All Sun-Dome products are paid before shipment by*
- ACH
- Check
- CC
- Inventory Terms
Bank Name*
Branch Address*
Street Address Address Line 2 City State ZIP Code
Main Contact at Branch*
Phone Number*

Vendor Information
Vendor/Manufacture Name*
Vendor/Manufacture Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Contact*
Phone Number*
Do you have any more Vendors/Manufactures*
- Yes
- No
Vendor/Manufacture Name (2)
Vendor/Manufacture Address (2)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Contact (2)
Phone Number (2)
Vendor/Manufacture Name (3)
Vendor/Manufacture Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Contact (3)
Phone Number (3)
Owner/Manager Name*
Title*
Date*
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Marketing Information