Become a Wilmington Grill retailer...

Application to provide retail sales

Complete the follow form to apply to become a Wilmington Grill retailer.
All information is required unless noted otherwise.

Company Information

company name


street address 

suite, apartment or unit

city  
 
state            zipcode
   

Tell us a little about your company.

describe your company (type of business, locations, etc.)


main product or service


tell us other grill line you represent


existing outdoor product lines


what geographic area does your business cover?


company web site


annual revenue (gross)


Federal Tax ID


Sales and Marketing activity


Do you have a marketing/business plan?   
   
Indicate your expected annual grill unit sales

What is your annual marketing budget?

Banking Reference

bank name


telephone


bank contact (optional)



Contact Information

contact name


telephone                                  fax (optional)
         

email address 
 

comments or questions: (optional)


enter the verification code shown below: