Welcome To Barrel Enterprises Dealer Form

JOIN OUR BUSINESS PARTNER NETWORK

Dealer / Customer Information:
*Name ()**		Company Name
Phone(*)		Address
Fax		*State/Province()**
Cell		*City ()**
e -mail (*)		Country (*)
web		Postal Code

Years in business		Trade References / Name
Type of business		Trade References / Company
Products sold		Trade References / Contact info
Market
Annual Sales
How many people do you currently employ ?
Do you have a space for a showroom model ?
How many trade shows do you attend (as an exhibitor) per year, and what are they?
What type of marketing do you do? (Trade Fairs, Print Media, Television, etc.)
What territory do you cover (City / State / Province / County / Area Code). Please be as specific as possible?
How did you find us?
Which media / search engine ?
Contact information:
	GM / Owner (Name/Contact Info)
	Sales (Name/Contact Info)
	Purchasing (Name/Contact Info)
	Accounts (Name/Contact Info)
	Installation (Name/Contact Info)

Additional Notes:
Please click submit form once only, and we will contact you