BERDA.COM Dealership Application

Personal Information
First Name:
Middle Initial:
Last Name:
Complete Address:
Primary Phone Number:
Alternate Phone Number:
Email Address:
Employment
Previous Vocation:
Current Employment Status:
If employed, what is your occupation?
How long have you been at that job?
Do you have sales experience? Yes    No
If yes, what did you sell?
What in your background do you feel will help you in selling custom printed sportswear?
Will your financial situation allow you to develop a business?
Have you ever owned a business? Yes    No
If yes, please provide information about it:
Do you currently have other business interests? Yes    No
If yes, please explain:
Do you own or have access to a computer with Internet access and a printer? Yes    No
Do you know how to upload and download files from the Internet? Yes    No
What is it that interests you in our opportunity?
Do you think people respect your opinion? Yes    No
If yes, why?
Do you know many successful businesspeople?
How do you see a BERDA dealership fitting in with what you are doing now?
How do you plan to sell our products?
Do you plan to sell: Full-Time    Part-Time
How many hours per week can you devote to your dealership?
Who do you plan to sell to?
How much money would you like to be making from your dealership in 6 months?
How much money would you like to be making from your dealership in 1 year?
How much money would you like to be making from your dealership in 5 years?
When would you expect to begin selling if you become a BERDA dealer?
How large is the market you live in? How much of it do you plan on covering?
There is $120 dealership fee (refundable under the conditions outlined in the dealership agreement).
Does the dealership fee pose any problems for you? 		Yes    No
Education
High school
Name and Location:
Degree:
College/University
Name and Location:
Degree:
Other
Name and Location:
Degree:

Thank you for your interest in BERDA.COM.

We'll be contacting you shortly.