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Your Name and title:

Business Name:

DBA:

Date Established                                             Federal Employer No.

Phone No.                                        Fax No.

E-Mail Address:

Physical Address (Street,  Suite No.):  




City                                        State                                         Zip Code:

Annual Sales Volume:  $

Business Form:                                

       Corporation        LLC                        Limited Partnership

       General Partnership                        Sole Ownership

       Subsidiary of                                        Division of

Parent Company:

Address:

Names and Address of Officers and/or Owners:

President:

Email address

Vice-President:

Email address


List any branch Offices




List any licenses, certifications or special training:





What is your Service Area? (We are trying to limit overlap between Authorized Dealers, so please be specific, give a mile radius around your home office along with various states/cities etc you service.)



Please tell us about your experience:
How long has your company been servicing Self Storage?


How many technicians or installers do you employ on a regular basis?  


Customer References:        
Please provide your information on the three most recent installation or repair jobs.
Customer              City                State                Equipment/Job type          No of units






Does your company have a specialty?        
If yes, what is it?



Product Information:
Do you wish to receive advanced notice of upcoming products or
product enhancements?                Yes                No                                                

What is your preferred method of contact?                         Phone        Fax        Email

Do you have any product enhancement suggestions?                                 
If yes, please explain.


Are there any products that you would like to be made available?                
If yes, please explain.


Which brands of access control and alarm equipment do you install?


What kind of equipment is it?


Which of these do you provide, install or service:
Perimiter Beam Installation        
Perimiter Beam Service        
Video Surveillance Systems                        
Access Control Installations
Access Control Service
Alarm System - Commercial
Alarm System - Mux or Single Unit
Install or Service CCTV
Install or Service Gate Operators
Install or Service Gates - Lift
Install or Service Gates - Slide
Install or Service Loop Detectors

So that we may best direct business opportunities to you, please provide the following information.

What is your current Service/Installation Rate Per Hour?

What is your Warranty?

Please attach a copy of your:
  • Current Installation Contract
  • Warranty
  • Sales Brouchure






Dealer/Installer Application Questionaire.
1. No Data will be shared with any competitor
2. Submission of Applicaiton does not guaranty acceptance by Global as an Authorized Dealer/Installer
3. This is an application to become an Authorized Dealer/Installer of Global Electronics' equipment.  Credit terms subject to additional applications and approval by Global.

You may also download a PDF of this application by Clicking HERE.

When completed please fax to 602-437-8009 or email to Sales@mail.global-electronics.com

Global Electronics, Ltd.
e-LocX 
Over Locking /Alarm System