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Lighted Magnifiers
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Become a Dealer
Become a Dealer of Dazor Products
If you would like to become a dealer of Dazor products, please fill out the contact form below.
Legal Company Name
*
DBA (if applicable)
Address
*
Suite #
Address (line 2)
City
*
State
*
ZIP/Postal Code
*
Primary Contact
*
Title
Email Address
*
Phone Number
*
Website URL
*
State Reseller Number
*
Federal Tax ID Number
*
Year Business Started
*
No. of Employees
*
Annual Sales
*
Do you operate a showroom?
*
Yes
No
Do you resell to others dealer?
*
Yes
No
What other lighting or magnification products do you offer?
*
Please list units sold per year for each product line
Describe your marketing strategy (print ads, direct mail, eblasts, etc.)?
*
What geographic territories do you serve?
*
What markets do you serve?
*
Does your company attend tradeshows?
*
Yes
No
If yes, which tradeshows do you regularly attend?
Is there anything else you would like to tell us about your business?
Current
month
ye@r (4 digits)
day
*
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*
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