Apply to become a Surefire dealer

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Welcome to SureFire, July 25, 2008

BECOME A DEALER

SureFire Dealer Candidate Worksheet

SureFire LLC, manufacturer of the world's finest illumination tools, is dedicated to the success of retailers who have the ability to appropriately display and communicate the benefits of SureFire products in a way that adds value to our brand. Think you've got what it takes to be a SureFire Dealer? The first step is to tell us about yourself and your company by completing and submitting the form below. If it looks like a potential match, a SureFire representative will contact you shortly.

1. General Info

Company Name:

Date Submitted:

Name:

Address:

City:

State/Province:

Zip:

Country:

Phone:

Fax:

Email:

2. Sales channel (choose all that apply)

	1.	Storefront(s) (number of stores)
	2.	Sq. ft. of Storefront
	3.	# of employees
	4.	Catalog (yearly quantity)
	5.	Outside Sales Reps (number)
	6.	Internet
	7.	Years in business
	8.	Other (please specify)

3. Your Primary Customers/Markets (choose all that apply)

1.	Campers/Hikers
2.	Backpacking
3.	Climbing
4.	Spelunking
5.	Kayaking/Rafting
6.	Fishing
7.	Archery
8.	Hunting
9.	Paintball

10.	Auto Mechanics
11.	Aircraft Mechanics
12.	Watercraft Operators/Mechanics
13.	Paramedics
14.	Search and Rescue
15.	Firefighters
16.	Law Enforcement
17.	Military
18.	Other (please specify)

4. Do you have a web site? Yes No
	If yes, enter URL:
	Sell over Internet? Yes No

5. Are you a member of a buying group? Yes No
	If yes, which group:
	1.	NBS
	2.	World Wide
	3.	Sports Inc.
	4.	NICA
	5.	Other:

6. How did you learn about SureFire?

	1.	Magazine (please specify)
	2.	Trade Show (please specify)
	3.	Referral
	4.	Other (please specify)

Comments: