: : : Welcome To Audio Enhancers : : : Dealer Application Form

New Account Requirements

Complete Dealer Profile Form

Business phone number and address listed in yellow pages

No cellular phone number accepted as main number

If your phone number is not listed as a business phone number, you will need to send in the following:

Copy of resale tax certificate

Copy of business license in the Automobile Radio & Stereo Systems or a related business

Copy of business card, newspaper ad, etc.

Note: All fields must be filled out completely in this form for it to be a valid submission..

Dealer Profile Form: Audio Enhancers

Company Name:
Contact Name:
Company Address:
City:	State	Zip
Phone:		Fax
Email Address:
Dunn & Bradstreet #

Date business established?
No. of employees?
Currently purchasing speaker cabinets from?

Are you a..	Corporation
	Partnership
	Sole Proprietorship

Have you purchased from us before? yes no
If yes, under what name?

Names of authorized purchasers	separate names with a comma.
	C.O.D. (with approval)
	CREDIT CARD
Please make sure all areas are complete before you submit this document.

New Account Requirements