Distributor Membership Application Form

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 NameLast Name
Email*
example@example.com
Phone*
COMPANY INFORMATION
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone

Select all that apply

Women-owned businessMinority-owned businessCertified B Corp

Satellite Offices if Applicable

Employee Composition

Sales Team


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

Annual Promotional Products Sales Volume*

Annual Sales Purchases with Premier Group Suppliers (Find a list of PG suppliers here: https://premiergroupnetwork.com/Suppliers)*

	Annual Sales Purchased with PG Suppliers
YTD
2022
2021
2020

Sales Breakdown*

	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:*

FinanceNon-ProfitEducationHealthcareAutomotivePharmaceuticalTransportationRetailGovernmentRestaurantEntertainmentHospitality
TOOLS & PLATFORMS USED
Select The Tools You Use To Power Your Business

ADPAturianASI ProfitmakercommonskuDistributor CentralESPGreat PlainsHubspotNetSuitePaychexQuickbooksSAGESmartbooksShip StationZoom InfoOther
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*

Clear
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*

MonthDayYear
Date
Should be Empty: