DockBloxx Dealer Application Form

Thank you for your interest in becoming a dealer with DockBloxx!

Please fill out the following application to help us get to know you better. We will review your application and contact you as soon as possible.

1) Dealer Information

Company Name *

Tax ID / EIN (Employer Identification Number) *

Type of Business *

Business Address

Address

Street Address *

City *

State *

Country

Postal code *

Website (if applicable)

Phone *

Email *

Primary Contact *

Position/Title *

2) Business Details

Years in Business *

What products or services do you currently offer? *

Do you currently sell dock organization products? *

Yes

No

If yes, please list the brands or products you sell

Do you sell online? *

Yes

No

If Yes, What Platforms Do You Use?

Amazon

eBay

Own Website

Estimated Annual Sales Volume *

$

Please provide an estimate of your annual sales volume in USD

Do you have physical retail locations?

Yes

No

If Yes, How Many?

3) Dealer Experience

Have you ever been a dealer or distributor for other brands before? *

Yes

No

If yes, please list the brands and describe your experience

What is your target market? *

What methods do you typically use for marketing and selling products? *