| Business Name*: |
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| Contacts First Name*: |
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| Contacts Last Name*: |
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| Address1*: |
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| Address2: |
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| City*: |
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| Country*: |
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| State (only for the USA citizens)*: |
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| Providence: |
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| Email Address*: |
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| Office Phone*: |
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| Cell Phone: |
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| Fax Line: |
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| Other Phone: |
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Desired password:
(you may leave it blank) |
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| Confirm password: |
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| Company Website: |
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| Number of Years in Business * |
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| Number of Locations * |
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| Monthly Volume of In-Dash Video systems? * |
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| How many Drivesoft Systems will you sell each month? * |
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| Do you have a sales floor? |
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| Do you have a sound room? |
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| Do you have an installation bay? |
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| How did you hear about Drivesoft? |
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| Do you currently sell In-Car PC products? |
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| If Yes... home brew or commercial brand name? |
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| If commercial brand name... Please list the brand name, the features and the price... |
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| List the audio products you are authorized too sell and where they are purchased... |
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| List all the large chain stores and other Car Audio Stores in your city or area. |
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| Addition comments and questions. |
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| If you have owned or currently own an In-Car PC product... please explain what problems that you have had with the system and/or any problems with installation difficulties, if any. |
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| Please upload the following pictures... |
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| Front View of your Business * |
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| Show Room * |
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| Car Installation Bay * |
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| A picture of your Custom Installs |
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| A picture of your Custom Installs |
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| A picture of your Custom Installs |
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