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WoodEze Dealer Application

To request information on becoming a WoodEze Dealer, please fill in the information below.


First Name: Last Name:
Organization: Title:
Address:
City: State/Prov:
Zip/Postal:
Country:
Phone: Fax:
Sales ID / EIN
Email: Your email address will be used as your login.
Password: Confirm Password:


What categories best describe your company? (check all that apply)

  Fireplace and Hearth   Chimney Pipe and Accessories
  Fireplaces, Stoves, Inserts   Firewood Racks and Splitters
  Outdoor Firepits   Firewood Carts and Carriers
  BBQ Grills, Parts and Accessories   Maintenance Items
  Home Furnishings   Lawn and Garden
  Pest Control Products   Other


Tell us how and where you will sell our products.


What other types of products do you sell? (please indicate current vendors)


How do you currently sell other products? (check all that apply)

  Retail Store   Through Dealer
  Catalog Sales   Telephone Marketing
  Direct Mail   Online Store
  Calling on Accounts   Other


To which markets do you sell products? (check all that apply)

  United States   Canada
  Mexico   International


Please indicate the names of key people in your organization.

First NameLast Name
Owner:
Office Manager:
Marketing:
Sales:
A/P Manager:
Purchasing:


If you are a member of any trade associations or organizations, please list their names below.

Organization 1:Organization 2:
Organization 3:Organization 4:


How did you find out about WoodEze?  


Would you like to receive information via email from WoodEze about products, services, promotions, contests and offerings that may be of interest to you?  Yes    No    


Do you have a website (including an Ebay or Amazon store)?  Yes    No    


What is the URL (domain name) of your website?  


Would someone else in your office like to receive our emails?

First Name:  Last Name:  
Title:          Email:          

First Name:  Last Name:  
Title:          Email:          


Would you like a WoodEze representative to call you?  Yes    No    


What is the best time to contact you via phone?  


If you would like to ask a question or make a special request, please enter it below.



  I have read and agree to the Terms and Conditions

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