deBono Thinking Systems

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dBTS Authorized Distributor Application

Business Name*
Business Type*
Please choose one (1).
 Corporation
Partnership
Proprietorship
Year Established*
Permanent Physical Address*
Number of Years at this Address*
Telephone Number* ( ) -
Fax Number ( ) -
Email Address*
Website URL
President or Owner*
Vice President or Partner
Treasurer or Partner (Financial Contact)*
General Manager*
Sales Manager*
Number of Sales Associates*
Please select one (1).
 Less than 5
6-10
11-15
16-20
21 or more
Annual Sales*
Please select one (1).
 less than $1,000,000
$1,000,000-$5,000,000
$5,000,000-$10,000,000
over $10,000,000
Primary Business*
Current Live Seminar Training Product Lines*
Other Training Product Lines
Branch Locations*
Languages*
Main Marketing Territory*
Business Hours*
Show/Classroom
Please select one (1).
 Excellent
Average
Below Average
None
Show/Classroom Size
Warehouse* Yes
No
Customer Service Representative(s)* Yes
No
Can you supply bank references?* Yes
No
Who are your competitors? In what way(s) are you more competive in your market? What is your market share?*
Why are you interested becoming an Authorized Distributor for de Bono Thinking Systems?*
How many current/active customers do you have? Please provide a means of verification.*
How do you currently market your products? How do you propose to market de Bono Thinking Systems products and training?*
What internal training programs do you conduct for your own employees?*
Please detail your sales history (growth), include inventory-volume information, turns, etc.*
Company Mission Statement*
Management succession plans*
Please detail your experience in the training industry. Include other products you represent, amount of time represented and references.*
In the past 5 years, have you had any compliance issues, including any government involvement?* Yes
No
In the past 5 years have you sold or do you currently sell or service customers in embargo areas?* Yes
No
Do you support anti-boycott policies with various countries?* Yes
No
Confirmation Code:
Enter the code shown in the box before clicking on submit.

Note: Fields marked by an asterisk (*) are required.