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Aten Solar Dealer Application

Aten Solar Dealer Application
Business Name *
 
Contact Name *

First
Last
 
Mailing Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
 
Phone Number *

###		 -
###		 -
####
 
Email Address *
 
Website
 
Business Type
 
Resale #
 
Tax ID#
 
State
 
Contractor License #
 
Primary Nature of Business
 
Approx. Annual Sales Volume
 
Do you presently, or have you ever installed equipment for others?
 Yes 
 No 
 
 
If Yes, What type of System of Equipment?
 
Describe any training or education that you have in this area
 
Do you retail products?
 Yes 
 No 
 
 
Do you wholesale products?
 Yes 
 No 
 
 
Upload a copy of your resale certificate
 
Upload a copy of your latest financial statement
 

Trade References

Please list open accounts only

 

Reference 1
Business Name
 
Contact

First
Last
 
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
 
Acct #
 
Date Acct. Opened
 

 

Reference 2
Business Name
 
Contact

First
Last
 
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
 
Acct #
 
Date Acct. Opened
 

 

Reference 3
Business Name
 
Contact

First
Last
 
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
 
Acct #
 
Date Acct. Opened
 
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