Dealer Application Form

Your Business Information

Incorporated name

Date established

Company registration number

Employer Identification Number (EIN)

Website URL

Contact Number

Business Type*

Other

Do you sell online?

Your Contact Information

Invoice name

Invoice address

Invoice City

Invoice ZIP Code

State

Contact Number

Delivery address different from invoice address given

Delivery Address

Delivery Address Line 1

Delivery Address Line 2

Delivery City

Delivery Postcode

Contact telephone number

Primary Contact

First Name

Last Name

Job Title

Email Address

Sales / Order Confirmation Contact

First Name

Last name

Job Title

Email Address

Tick to use as primary contact

Accounts / Invoice Contact

First Name

Last name

Job Title

Email Address

Tick to use as primary contact

Shipping Information Contact

First Name

Last name

Job Title

Email Address

Tick to use as primary contact

Marketing Contact

First Name

Last name

Job Title

Email Address

Tick to use as primary contact

Do you have a showroom?

Yes

How many showrooms do you have?

How many showrooms do you have?*

Showroom Information

Showroom Manager Name*

Showroom Address*

Showroom Address Line 2*

State

Showroom ZIP Code*

Contact Number*

Contact Email*

Showroom Size (Sq.ft)*

Do you showcase other cabinet hardware brands in your showroom?

Any other comments

Approximately, how much do you spend on cabinet hardware a year?

Approximately, how much do you spend on cabinet hardware a year?*

Why would you like to become an Armac Martin dealer?

Where did you hear about us?

Specify Other

Please read the terms and conditions below then submit your form.

I accept the Terms and Conditions*

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