Dealer Application for the Americas - Explore Scientific
Dealer Application for the Americas - Explore Scientific
Dealer Application for the Americas - Explore Scientific
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
S C IEN TIFIC<br />
D EAL E R APPL I C A TION<br />
<strong>Explore</strong> Scientic/Bresser 621 Madison Springdale, AR 72762 www.explorescientic.com/www.bresser.com<br />
(866) 252-3811 / Fax: (479) 717-2898<br />
© 2011 <strong>Explore</strong> Scientic LLC<br />
REV 3222012
populace.<br />
S C IEN TIFIC<br />
To become a Showroom <strong>Dealer</strong> your company must be based in a commercial location, keep regular hours, have live access to sales<br />
to catalog and online-only retailers (restrictions apply).<br />
Opening orders must consist of a representative selection of our product with a minimum opening order as composed by your<br />
<strong>Dealer</strong> Representative. Orders can be placed online through our <strong>Dealer</strong> Portal, sent via email to orders@explorescientic.com /<br />
orders@bresser.com, by calling (866) 252-3811, or sent via fax to (479) 717-2898. Live online training is available and we are<br />
available to participate in sales events when available.<br />
If you have any questions, please contact us, we will be happy to help you.<br />
<strong>Explore</strong> Scientic/Bresser 621 Madison Springdale, AR 72762 www.explorescientic.com/www.bresser.com<br />
(866) 252-3811 / Fax: (479) 717-2898<br />
© 2011 <strong>Explore</strong> Scientic LLC
S C IEN TIFIC<br />
DEALER APPLICATION FORM – USA & CANADA<br />
<strong>Dealer</strong> Name: _____________________________________________________ Date:_____________<br />
Address: ___________________________________________________________________________<br />
City: ___________________________Province/State: _________Postal Code/Zip:_________________<br />
Phone #:_________________ Fax #:_________________ Company E-mail:______________________<br />
Physical Store Address:_______________________________________________________________<br />
Ship To Address:_____________________________________________________________________<br />
Bill To Address:______________________________________________________________________<br />
Company Web Address: _______________________________________________________________<br />
Alternate Web Address: _______________________________________________________________<br />
Principal Contact: ___________________________________________ Title: ____________________<br />
Principal Contact E-mail: ______________________________________________________________<br />
Buyer Contact: ______________________________________________________________________<br />
Buyer’s E -mail: ______________________________________________________________________<br />
Dunn & Bradstreet #: ___________________ Resale #:______________________________________<br />
Please List Bank In<strong>for</strong>mation<br />
Bank Name:________________________________ Bank Phone #:_____________________________<br />
Bank Contact Name:_________________________ Bank Account #:____________________________<br />
Please list 3 trade references:<br />
1._________________________________________________________________________________<br />
2._________________________________________________________________________________<br />
3._________________________________________________________________________________<br />
<strong>Explore</strong> Scientic/Bresser 621 Madison Springdale, AR 72762 www.explorescientic.com/www.bresser.com<br />
(866) 252-3811 / Fax: (479) 717-2898<br />
© 2011 <strong>Explore</strong> Scientic LLC
Change language