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MAD • MAYKER | Jesmonite Retailer Application (CANADA)
Retail applications to sell Jesmonite products in Canada.
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* Indicates required question
Email
*
Your email
What is your company name?
*
Your answer
What is your first and last name?
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Your answer
What is your role in the company?
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Your answer
What is your phone number?
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Your answer
What is your company website?
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Your answer
How many PHYSICAL retail stores does your company have?
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Your answer
Do you have an e-commerce store that ships within canada?
*
Yes
No
Required
Which provinces does your company have retail stores in? (select all that apply)
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British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
Newfoundland and Labrador
Prince Edward Island
Required
Which MAD • MAYKER x Jesmonite products are you interested in selling? (select all that apply)
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Jesmonite AC100 Series
Jesmonite AC730 Series
Jesmonite Ancillary Products
Jesmonite Pigments
Required
What are your required product margins? (please provide a low to high end range)
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Your answer
Approximately, when are you looking to start selling Jesmonite products in your store(s)?
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MM
/
DD
/
YYYY
What is your anticipated FIRST ORDER volume? (in Canadian dollars)
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Your answer
What is your anticipated ANNUAL volume? (in Canadian dollars)
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Your answer
How does your company support customer inquiries / post-sales support?
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Email
Phone
In-person
We don't
Required
Lastly, tell us a bit about your business and why you would like to become a retailer of MAD • MAYKER x Jesmonite products? (the more information the better!)
*
Your answer
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