Standard Supply | Amana Dealer Application
Company Name
*
Principal Full Name
*
First Name
Last Name
E-mail
*
Phone Number
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Area Code
Phone Number
Standard Supply Account Number
*
Standard Supply Sales Rep
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First Name
Last Name
Credit Application Status
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Received - Pending
No Credit Application Received
Existing Net Terms Account
Existing COD Account - No Terms Requested
Company Website
TACL Number
*
EPA Number
Year Business Established
Will Amana be your primary brand?
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Yes
No
If no, what is your primary brand.
*
Please Select
American Standard
Carrier
Coleman
Daikin
Frigidaire
Goodman
Lennox
Maytag
Nordyne
Other - not listed
Rheem / Ruud
Tappan
Trane
York
What % of purchases will be Amana brand Equipment
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Are you a member of a buying group?
*
Please Select
No buying group / Not a member of a buying group
Air Time 500
Aire Serv
Comfort Systems USA
Dr. Energy Saver
EMCOR
Everrest
Excellence Alliance
Green Homes America
Linc
National Comfort Institute
Nexstar
One Hour Heating & AC
Retail Contractors Coalition
Service Nation Alliance
Service Roundtable
United CoolAir
WellHome
Business Overview
Number Service & Install Trucks
*
Please Select
1-2
3-5
6-10
11-15
16-25
25+
Total number of Employees
*
Please Select
1-5
6-15
16-25
26-50
100+
Annual Total Equipment Sales
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Select all markets you currently serve
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Residential Service / Retrofit
Residential New Construction
Commercial Service / Retrofit
Commercial New Construction
Percentage of Business that is Residential
Percentage of Business that is Commercial
Percentage of Business that is Service / Retrofit
Percentage of Business that is New Construction
Marketing & Service Information
Annual Marketing Budget
*
Preferred Advertising Methods (Select all you currently utilize)
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Truck Wraps
Television
Radio
Print / Newspaper
Billboards
Web Banners
Direct Mail
Other
Do you currently offer financing?
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Yes
No
No, but I would like to offer financing
If yes, who is your current finance provider
Do you currently offer 24 hour service to customers?
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Yes
No
Do you currently offer free estimates to potential customers?
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Yes
No
Do you currently offer preventative maintenance agreements?
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Yes
No
Do you currently offer extended warranties for labor coverage?
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Yes
No
No, but I would like to offer this
If yes, who do you currently use as your warranty provider?
How do you sell to your customers?
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Dedicated Sales Teams
Selling Technicians
Other
What time frame are you looking at to complete your brand conversion?
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Please Select
Less than 30 Days
31 - 60 Days
61 - 90 Days
Greater than 90 Days
What is the most important thing we can do to make this conversion successful and easy for your business?
*
Submit Application
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