Application Specific LED Flashlights & Head / Helmet Lights
FoxFury > Dealers > Application
Dealer Application
Please fill out the form below and hit "Submit" below. You may also fax in this form to +1 760 758-6283. We will get back to you as soon as possible. Please feel free to call us at +1 760 945-4231. Thanks!
Company Name:    
Name:
Position:
Address
Telephone:
City:
Fax:
State/Country:
E-mail:
ZIP Code:
Website:
       
Employer's ID Number:    
Reseller's Permit Number:    
   
Sales Channels (please specify)
# of storefronts   Years in Business
  SQ FT of storefronts   Catalog
  # of employees   Internet
  # Outside Sales Reps   Other (specify)
       
Website Info
   
URL:  
Online Store: Yes No    
       
Primary Customers/Markets (please check all that apply)
       
  Arson Investigation   Law Enforcement
  Bike Camping   Low Vision
  Camping / Hiking   Medical
  Caving / Climbing   Military
  EMS   Rescue
  Firefighting   Safety
  Forensic   Scuba
  Hazarous Area   Special Ops
  Hunting   Water Activities
  Industrial   Other
       
       
Other types of products you carry?
       
Do you currently sell any other lights?
If so, please specify.
       
Price Range of Other Lights Sold:
  $ Lowest   $ Highest
       
Average Inventory on Hand (please specify) $
       
Level of Inventory Interested in Carrying per Year (please select one)
  < $1,000   $5,000 - $9,999
  $1,000 - $2,499   over $10,000
  $2,500 - $4,999    
       
Do you require drop shipping? (please note Drop Ship Fees in Policies and Procedures)
  Yes   No
       
How Did You Hear About Foxury? Please Specify
  Trade Show   Online
  Magazine   Other
  Referral    
     
       
Additional Comments
       
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