Parrot Dealer Profile
PARROT DEALER PROFILE
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Email
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First Name
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Last Name
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Employer's Web Address
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Representative Name:
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Date:
(mm-dd-yyyy)
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Name of Business:
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D.B.A.:
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Location Address:
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City:
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State:
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Zip:
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Shipping Address:
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City:
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State:
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Zip:
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Phone:
Fax:
Cell:
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Email:
Operator #1:
Email:
Operator #2:
Email:
Operator #3
Email:
Date Business Started:
(mm-dd-yyyy)
Number of Locations:
Number of Installation Bays:
Number of Employees
Total Sales:
Average Monthly Installation:
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What distributor(s) do you buy Parrot products from?
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Who is your Parrot Sales Rep?
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What area(s) do you service?
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Type of Business:
Check all that apply
Retail Home Audio/Video
Cellular Retail
Retail Car Stereo
Expeditor
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Website Address:
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MECP Certification?
Yes
No
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Installernet?
Yes
No
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Would you like to become a:
Check all that apply
Parrot Authorized Dealer (I would like find out how to sell Parrot products)
Certified Installer (I currently sell Parrot products and would like to apply for the Certified Installer Program)