Store Name (required) Primary Contact (required) Month/Year Store Established (xx/xx) Address (required) City (required) State/Province (required) Zip or Postal Code Country (required) Mailing Address (if different from shipping): Address City State/Province Zip or Postal Code Country Phone (outside U.S. include Country Code) (required) Fax (outside U.S. include Country Code) Email Address (required) (Please include a complete Email address i.e., yourname@aol.com) Website URL Store Hours (required)
Mailing Address (if different from shipping): Address City State/Province Zip or Postal Code Country
Phone (outside U.S. include Country Code) (required) Fax (outside U.S. include Country Code) Email Address (required) (Please include a complete Email address i.e., yourname@aol.com) Website URL Store Hours (required)
Name 1 Title (select all that apply) Owner Manager Assistant Manager Instructor Other
Name 2 Title (select all that apply) Owner Manager Assistant Manager Instructor Other
Name 3 Title (select all that apply) Owner Manager Assistant Manager Instructor Other
Number of employees, including owners
Please indicate which grinder models you currently maintain in stock.
Total estimated quantity of grinders you sell yearly: Glastar: All Other Brands:
Model of grinder you use personally
Average number of students per class Number of classes per year
Which statements below describe how you display your grinders for sale (check all that apply):
Have one or more unused grinder models kept on display in showroom. Classroom models are used for display and demo purposes
Do you sell used grinders? yes no Do you rent equipment to customers or students? yes no Do you rent time on equipment at your store? yes no If yes to above, which equipment do you rent? Grinder Bevel Sandblast
Please check the types of promotions you conduct at least once a year:
Sales on merchandise Internet promotions Free introductory class Free demos Specials on classes or instruction Open House/Anniversary Event Newsletter Frequent shopper rewards Student Art Show Other (describe)
Please check the types of advertising and promotion media you employ:
Yellow Pages (other than free listing supplied by phone company) Newspaper Direct Mail Internet advertising Exhibit at local community fairs/events TV (cable, local stations) Radio Other (describe)
Please list the distributors from whom you order, beginning with your primary distributor, along with the category of products you purchase from that distributor.
Distributor Name:
(required) Grinders/other power tools Heads Hand Tools/Accessories Glass Grinders/other power tools Heads Hand Tools/Accessories Glass Grinders/other power tools Heads Hand Tools/Accessories Glass Grinders/other power tools Heads Hand Tools/Accessories Glass
Digital Signature (type your name): (required) Date: (required)
