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Online Application
versagripps.com
Home
Online Application
versagripps.com
New Account Authorized Dealer Application
Thank you for choosing Versa Gripps. Please fill in the application below to apply to become an Authorized Dealer of the #1 Most Advanced Training Accessory in the World. In order to be considered, all applicants must have a business license (issued through your local government) and a RETAIL store front. Applicants wanting to sell Versa Gripps products on auction sites (such as EBay, Amazon, etc.) or from home will not be considered. We are currently focusing on full-line retail sporting good stores, gyms, health clubs, pro-shops and sport-specific specialty stores. We will review completed applications and notify you of our decision as they are received. Incomplete applications will not be considered. Please allow 6-8 weeks for our Sales Team to review your business potential partnership and alignment with our current requirements to become a Versa Gripps Authorized Dealer. We appreciate your interest in becoming a Versa Gripps Dealer.
Please use the upload tool at the end of the application to submit a couple of pictures of the exterior and the interior of your store.
For questions and status updates please email info@versagripps.com or call (207) 422-2051.
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Indicates required field
USA or International Application?
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USA
International
Legal Business Name
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DBA Name (Doing Business As):
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Business Address:
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Line 1
Line 2
City
State
Zip Code
Country
Billing Address (if different from above):
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Line 1
Line 2
City
State
Zip Code
Country
Please List Owner(s) Including First and Last Name:
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Phone Number:
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Fax Number:
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Email:
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Website Address (If Any):
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US Business 9digit Tax ID # OR International Government Business License #:
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Business Structure:
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Corporation
LLC
Partnership
Individual
Years In Business:
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Years at Current Location:
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Number of Locations:
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Date Business was Started:
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Estimated Square Footage:
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If Gym or Health Club, Number of Members:
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Yearly Store Sales:
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Number of Employees
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Sales Channel (Please Check All that Apply):
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Gym or Health Club
Specialty Fitness
Sporting Goods
Rehabilitation Center
Personal Trainer
Export/International
Catalog
Distributor
Department Store
Internet
Check all that apply
Do you have a physical storefront?
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Yes
No
Additional Retail Store Locations (Addresses):
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Current Top 3 Suppliers of your Business (Vendor Names):
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Products You are Currently Selling:
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Hard Goods (Equipment)
Soft Goods (Apparel/Uniforms)
Accessories
Supplements
How do you differentiate your business from others in the marketplace? What is your business approach?
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How many road salesmen do you currently have?
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Brief History of Your Business:
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How did you hear about us?
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Please use the uploading tool below to submit pictures of both the exterior and interior of your store. If you are a web store, please submit a screen shot of your home page.
Upload File
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Max file size: 20MB
Please use the uploading tool to submit pictures of both the exterior and interior of your store. If you are a web store, please submit a screen shot of your home page.
Upload File
*
Max file size: 20MB
Please use the uploading tool to submit pictures of both the exterior and interior of your store. If you are a web store, please submit a screen shot of your home page.
Upload File
*
Max file size: 20MB
Please use the uploading tool to submit pictures of both the exterior and interior of your store. If you are a web store, please submit a screen shot of your home page.
Submit
