Become a retailer...

Application to provide retail sales

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

Company Information

company name


street address 

suite, apartment or unit

city  
 
state            zipcode
   

Tell us a little more 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?	select yes no
Indicate your expected annual grill unit sales	select 10-25 25-100 101-250 250+

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:
   


   

Application to represent the Wilmington Grill Company

We are always looking for high-quality retailers to represent the Cape Fear line of stainless steel grills. If you would like apply, complete the form to the left. Our Customer Service Manager will contact you to review your application.