New Customer Information Form

Thank you for your interest in GerrAudio Distribution and the products we carry.GerrAudio is an exclusive Canadian Distributor of professional audio brands in Canada. Before we can share any detailed information or pricing about our products for re-sale, we require a reseller agreement as follows.

To start this process,and before we are able to provide you with any information or pricing, please fill out the below fields. After the form is completed, it may take up to2-3 weeks before any request(s)can be approved. A GerrAudio representative may also need to visit your location to meet in person.

Please note that completion of this form does not guarantee acceptance as a new reseller/dealer. GerrAudio Distribution holds discretion when setting up new resellers and may decline if the answers below are not satisfactory or it is felt that an agreement between our two respective companies would not be a good fit for any reason.

We will not set up new resellers to bid on pre-established government or publicly tendered jobs. The following does not constitute a credit account.

Company Name*

Company Representative & Title*

Company Address*

Province*

Postal Code*

Years in Business*

Employees*

Approx. Annual Sales (Ca$)*

Company web-site*

Other Office Locations*

Requested GerrAudio Product Line(s)*

Please answer the following questions to help us understand more about your business.

How did you/your company find out about this product? Please give a quick summary of why you think this product line is a good fit for your organization:

Do you resell any competing product lines?

GerrAudio Distribution is looking for new strategic partners to help grow our business.Please include a small summary of the efforts you/your company will take to introduce GerrAudio to new users/customers and/or new business opportunities(advertising, sales calls, etc.)

What kind of turnover do you expect with the requested product line(s)in the next 6-12 months?

Will you send an employee(s)to GerrAudio for training? If so, please indicate who this individual(s) should be and include their title(s)?

Are you willing invest in sample equipment for your staff to use for demonstrations in the field?

What challenges (if any) does your company currently have that you believe might be resolved by carrying this new product line? Is there an area of the market that you serve where you believe there to be a good fit for this product line specifically?

What is your overall company sales strategy and how will partnering with GerrAudio help accomplish your organization’s future goals?

Please read through the following “Doing Business with GerrAudio” document,initial each page and sign the last page to agree to our policies on sales and service

Before doing business with GerrAudio Distribution, new customers must sign acceptance of these terms and conditions above.

Please note: the following does not constitute a credit account

Please sign acceptance of these terms and conditions:

Company Name*

Customer Name(with signing authority)*

Title*

E-Mail*

Signature*

Date*