MINIMIS - Dealer Inquiry Form
If you are interested in becoming a MINIMIS-authorized dealer, kindly complete the form below.
YOUR NAME *
Your answer
YOUR COMPANY NAME *
Your answer
YOUR ROLE / TITLE *
Your answer
WHAT COUNTRY ARE YOU LOCATED IN? *
Your answer
YOUR TELEPHONE NUMBER *
Your answer
YOUR EMAIL ADDRESS *
Your answer
YOUR GROSS ANNUAL DEALER REVENUES? (INDICATE CURRENCY) *
Your answer
WHAT BRANDS OF LIGHTING DO YOU CURRENTLY DEAL IN? *
Your answer
WHAT IS YOUR AVERAGE MONTHLY MARKETING BUDGET? (INDICATE CURRENCY) *
Your answer
WHAT IS YOUR GEOGRAPHICAL DEALER TERRITORY? (LIST COUNTRIES, PROVINCES OR STATES) *
Your answer
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