| Business Name: |
|
| Street Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Phone Number: |
|
| Fax: |
|
| E-Mail Address: |
|
| Contact Person: |
|
| Title: |
|
| Your Business: |
|
| Describe your business: |
|
| Length of time in business: |
|
I am exploring new profit centers for my business.
Yes No
|
I want to get into the bedliner business.
Yes No
|
I want to get into the industrial coatings business.
Yes No
|
I am currently in the drop in bedliner business.
Yes No
|
I am currently in the bolt on bedliner business.
Yes No
|
I am currently in the spray on bedliner business.
Yes No
|
I want to provide a top quality bedliner/industrial coating for my customers.
Yes No
|
| I am looking for a way to... |
|
| Describe your building and location: |
I have extra bays or space that can be converted into service bays. I would need to build or add-on to create room for service bays.
|
| Your expectations: |
I am looking for a primary source of revenue. I am looking for a secondary source of revenue.
|
| Important note: Our licensing agreement requires that your revenues from your FabickŪ business provide no more than 20% of your gross sales during the first year of your dealership. |
| If you remain interested after reviewing detailed information on the Fabick opportunity, would you be interested in visiting the Madison location to learn more? |
Yes No
|
| You are, of course, under no obligation. and there will be no pressure. But, if after careful consideration, you apply and are accepted as a dealer, you will be expected to make an investment of over $15,000. Are you capable of making such an investment? |
Yes No
|
| Any other questions or comments: |
| |
|
|