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Dealer Application

Please fill in the form below for North American dealership status only. Please contact Renewable Devices for inquiries outside of North America.

FIRST NAME LAST NAME

COMPANY NAME

MAIN CONTACT TERRITORY

STREET ADDRESS

MAILING ADDRESS

CITY

STATE ZIP COUNTRY

PHONE

EMAIL ADDRESS

WEBSITE

If you are a division of another company, list the name and address of the parent company:

Describe your company's major business activity:

Number of Sales People:

From whom do you currently purchase wind turbines?

From whom do you currently purchase solar panels?

How many wind turbines have you installed?

How many solar systems have you installed?

Do you have your own advertising/promotion program?

Do you attend tradeshows? If yes, please list them:

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