PROSPECTIVE DEALER QUESTIONNAIRE Step 1 of 2 50% PROSPECTIVE DEALER QUESTIONNAIRE C-Bond Systems thanks you for your interest in our products, and we look forward to learning more about your organization. This Prospective Dealer Questionnaire is designed to give insight into your company's background, history, installation and distribution capabilities, market segments serviced, and overall direction. Please be as detailed as possible with your answers as this Questionnaire will give us a glimpse into designing a business plan that builds a mutually beneficial partnership. Feel free to attach a separate document with more detail if necessary. Systems takes great pride in the process. It will help us determine who we partner with when bringing our products to market. The information you provide in this form will be used extensively when making our decision. Again, we thank you for your interest in C-Bond and look forward to the future and a mutually beneficial business relationship. Company Name*Key Management NameTitleAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Size of Facility SQ/FT*Number of Locations*Approx. Annual RevenueGrowth Over Past Years*FILM MARKETS SERVICEDAutomotive of Total Business (%)Commercial of Total Business (%)Residential of Total Business (%)Other of Total Business Add (%)HOW IS YOUR BUSINESS SEGMENTED?Solar of Total Business (%)Safety & Security of Total Business (%)Decorative Total Business (%)Other of Total Business (%)Approximately How Many Projects Do You Install Per Month?*Approximately How Many SQ/FT of Film Do You Install Per Month?Markets Serviced ALL COMMERCIAL RESIDENTIAL INDUSTRIAL AUTOMOTIVE MARINE RETAIL EDUCATION MEDICAL Is Your Business Seasonal? If Yes, ExplainAttach a Document Back to Home Page
