Distributor Member Application
Complete the application and submit for consideration to be part of Premier Group Network. All membership applications will be reviewed for recommendation by the Premier Group Membership Committee before being submitted to the Board of Directors for approval. Prospective members will be contacted after submitting application with an expected timeline. The total process takes approx 1 month after application is received.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
COMPANY INFORMATION
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone
Format: (000) 000-0000.
Rows
PPAI #
ASI #
Website
LinkedIn Page URL
Year Founded
Select all that apply
Women-owned business
Minority-owned business
Certified B Corp
Ecovadis Status
Satellite Offices if Applicable
Rows
Full Address
Satellite Office #1
Satellite Office #2
Satellite Office #3
COMPANY STAFF
Employee Composition
Rows
# of each type of employee
Total Employees (all kinds)
# of full-time employees
# of part-time employees
# of 1099 contractors
Sales Team
Rows
Total # of Sales People
How many sales people independently generate above $500K in annual sales?
How many sales people independently generate above $1M in annual sales?s
SALES INFORMATION
Annual Promotional Products Sales Volume
*
Rows
Annual Sales
YTD
2025
2024
2023
Annual Sales Purchases with Premier Group Suppliers (Find a list of PG suppliers here: https://premiergroupnetwork.com/Suppliers)
*
Rows
Annual Sales Purchased with PG Suppliers
YTD
2025
2024
2023
Sales Breakdown
*
Rows
Approx. percentage of goods sold
Apparel
Hard Goods
BUSINESS TRENDS
Top 3 Industries
*
List the Top 3 Industries Your Company Serves
Top 3 Suppliers
*
List the top 3 suppliers your company buys from in the industry.
Select markets of focus for your company:
*
Finance
Non-Profit
Education
Healthcare
Automotive
Pharmaceutical
Transportation
Retail
Government
Restaurant
Entertainment
Hospitality
TOOLS & PLATFORMS USED
Select The Tools You Use To Power Your Business
ADP
Aturian
ASI Profitmaker
commonsku
Distributor Central
ESP
Great Plains
Hubspot
NetSuite
Paychex
Quickbooks
SAGE
Smartbooks
Ship Station
Zoom Info
Other
Other
ABOUT YOUR COMPANY
Please provide an overview of your company story?
Are you a second or third generation owner? Do you have other divisions? Do you also sell print? Do you decorate in house?Etc?
Why do you think being a member of Premier Group Network is a right fit for your company?
What insights about your company culture or strategy you would like to share?
Are you a member of any other industry groups or association?
If yes, complete: Please list any other industry groups or associations to which you belong.Please note: If you belong to other industry groups with rebates or buying agreements, you must choose which program PG supplier members should adhere to.
SIGN TO APPLY FOR MEMBERSHIP
Signature
*
I understand the financial and other membership requirements listed in this packet and agree to these commitments if an invitation to join Premier Group is extended and accepted.
Date of Signature
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Apply for Membership
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