Clone of Prospective Dealer Information Form

1
Today's Date* This field is required.
Date
Month
Day
Year
2
Contact Information* This field is required.
Full Name
Job Title
Email
Phone Number
3
Company Information* This field is required.
Company Name
Company Main Website URL
Year the Company was Founded
Please Select
Please Select
Under $500,000
$500,001-$1,000,000
$1,000,001-$5,000,000
$5,000,001-$10,000,000
$10,000,000+
Annual Revenue
4
Company HQ Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Industry* This field is required.
Mass Merchant
Automotive
Sporting Goods/Outdoor Recreation
Manufacturer
Other
6
Sales Channels* This field is required.Select all that apply
Retail Store
Marketplace Reseller
eCommerce
Distributor or Wholesaler
Other
7
What percentage of business is done through each sales channel?
i.e. 20% retail, 80% eCommerce
8
Inventory Method* This field is required.
Please Select
Please Select
Stocking
Drop Ship
Both
Inventory Method
Number of Distribution Centers or Warehouses
9
Retail Information* This field is required.
Please Select
Please Select
1-4 Stores
5-20 Stores
21-50 Stores
50+ Stores
Number of Retail Stores
Which of your product categories would Napier’s products fit into?
10
eCommerce Information* This field is required.
How many eCommerce websites do you have?
What is your average monthly website traffic?
Which of your product categories would Napier's products fit into?
11
Marketplace Information* This field is required.
Please Select
Amazon via FBA
Amazon via FBM
eBay
Target
Walmart
Wayfair
Other
What marketplaces do you sell on?
What is your marketplace seller name?
What is your seller rating?
Please Select
Please Select
Yes
No
Do you participate in marketplace promotions or advertising programs?
12
Distributor Information* This field is required.
How many retail or eCommerce partners to you currently distribute to?
Please Select
Retail Store
eCommerce
Marketplace
What is your primary resellers' sales channel?
How do you ensure your resellers follow MAP pricing and maintain brand compliance?
Please Select
Please Select
Yes
No
Are you able to prevent your resellers from selling on marketplaces (i.e. Amazon and Walmart )?
13
Competitor Analysis* This field is required.
Please Select
Please Select
Yes
No
Do you currently sell other brands of vehicle camping tents?
What brands?
14
Sales Potential* This field is required.
Please Select
Truck Tents
SUV Tents
Ground Tents
Rooftop Tents
All Tents
What type of tents are you interested in carrying?
How will you market and promote Napier's products to generate sales?
15
Additional CommentsIs there anything else we should know?
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