Dealer Application

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- Step 1 of 6

Which are you interested in applying for? *

Dealer
Mask/ Regulator Service - No Dealership

Business Contact Information

Company Name *

DBA (if applicable)

Store Owner - Full Name *

First

Last

Store Manager - Full Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Stores Photo Store

Business Information

Have you ever been an OTS Dealer? *

Type of Business *

Resale License # *

Conduct Business As *

Business Hours *

ex. 9am-6pm 7 days a week

Number of Employees *

Size of Business (Sq Ft.) *

Number of Stores *

Estimated OTS Sales Volume Annually *

Current Market Share *

Number of Competitive Stores in Your Area *

Sales Information

Please provide the following percentages of your total sales for each of the following:

Internet Sales *

% Internet

Retail Sales *

% Retail

Sporting Goods *

% Sporting Goods

Describe the nature of your business: *

Scuba Lines Carried: *

References

Please list three references you are currently doing business with, and type of account established. All of these fields are required.

Type of Account *

Reference Name *

Email *

Phone *

References #2

Please list three references you are currently doing business with, and type of account established. All of these fields are required.

Type of Account *

Reference Name *

Email *

Phone *

References #3

Please list three references you are currently doing business with, and type of account established. All of these fields are required.

Type of Account *

Reference Name *

Email *

Phone *

Files

The Following Files are required to be scanned and uploaded to this form. Each file MUST BE LESS THAN 4MB.

Photo of Resale License *

Click or drag a file to this area to upload.

Photo of Outside of Business *

Click or drag a file to this area to upload.

Photo of Inside of Business *

Click or drag a file to this area to upload.

Conclusion

Name *

First

Last

Application Date / Time *

Date

Time

Did you speak with an OTS Employee? *

Acceptance *

All applications for dealership and credit accounts are subject to review and approval by OTS. Returning this application does not constitute nor imply acceptance of an OTS Dealership, Representation and/or any type of account authorization. In the event of a dispute over merchandise and/or payment, dealer is responsible for legal fees. All information submitted to OTS will be kept confidential.

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