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Apex Technologies Dealer Inquiry Form
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Today's Date
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Business Name (with dba if applicable) -
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Primary Contract Name
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Primary Contract Email Address
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Sales Representitive
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Atlantic Integrated - Metro NYC
Hill Residential Systems - Mid Atlantic
LIT - Southeast
LK & Associates - Florida
Bell & McCoy - TOLA
CET & Associates - Rockies
Custom Integration Partners - Canada
Fielder Marketing - Northern California
Innovative Consulting - Arizona
Morris Tait - Southern California
Savvy Sales & Marketing - MINK
AV Partners - Pacific NW
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Brands Applying For
Meridian Audio
TPI Areospace
Apex Power Solutions
HDAnywhere
Display Technologies
LightWalls
ProtoPixel
Complete Acoustic Treatment System
nexgentec
Arvus
Professional Organization Affiliation
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Azione
HTSA
ProSource
HTA
Guild Integrators Alliance
Cinergy Professional Development Group
CEDIA
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Billing Address:
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Shipping Address: (If same, write same)
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Primary Phone Number:
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Website:
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Social Media Links:
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Owners/Officers Name, Email, Cell Phone:
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Federal EIN:
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States Sales Tax Resale Number:
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General Manager Name, Email, and Cell Phone:
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Accounts Payable Name, Email, and Cell Phone:
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Service Manager Name, Email, and Cell Phone:
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Installation Manager Name, Email, and Cell Phone:
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Sales Manager Name, Email, and Cell Phone:
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