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The Rosen TEAM thanks
you for your interest in becoming
a Rosen Authorized Dealer. Completing
this form and submitting to Rosen
is the first step in the process.
Please complete all required data
fields as any incomplete submittal
will delay processing of your request.
Once received, Rosen's Sales TEAM
will review the information and contact
you about becoming a member of our
rapidly growing Rosen family of Authorized
Dealers. Completion of this questionnaire
does not automatically qualify you
to become a Rosen Authorized Dealer
as additional credit and geographic
reviews will be required.
*Required
Information in Red
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Business Name:
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Street Address:
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Unit #:
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City:
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State:
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Zip:
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Phone #:
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Fax #:
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Your
Name:
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Title:
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Email
Address:
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Best time to call:
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Years In Business:
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# of Locations:
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# of Employees:
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Business Type:
(check all that apply)
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Dealer Expediter
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12 Volt Retailer
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Auto Accessory Retailer
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Truck
Accessory Retailer |
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Other (explain:)
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Business Mix (estimate
the percentage of business for each
product listed to total 100%)
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% Mobile Video Systems
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% Audio Systems
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% Navigation Systems
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% Alarms
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% Automotive Accessories
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% Other (describe)
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If Currently Installing
Video Systems Please Answer These
Questions
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What brands do your
carry?
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How many total mobile
video systems do you
install/sell monthly?
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Complete the detailed section as follows:
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# Overhead Systems w/ Remote Source
Unit
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# Overhead All-In-One Systems
(Monitor
and source unit in one overhead pod)
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# In-Dash Systems
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Describe the most
popular system you sell:
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Unit Sales Per Month
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*** Thank you for your
interest in ROSEN mobile video products!!
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