DEALER OF RECORD REQUEST

PLEASE ENSURE YOU HAVE READ AND UNDERSTAND THE D.O.R. PROGRAM RULES PRIOR TO SUBMITTING THIS REQUEST.  (CLICK HERE TO VIEW)

NOTE : THIS IS NOT AN ORDER FORM. PLEASE CONTACT OTS TO PLACE ORDER AFTER APPROVAL

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Market Segment

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End User Information

Contact Name
Address

Opportunity Information

Please list all items that were discussed during the demonstration.

Does this customer already have this equipment?

If the customer already owns this equipment and they are simply reordering more of the same items it does NOT qualify for the DOR program.

Support Request

** Examples of what qualify for DOR: Doing onsite Demonstration – or – Putting a significant amount of time into educating and selling a qualified customer. Simply putting together a price quote for someone – or filling an order does not qualify as DOR. **

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