Dealer Application Form

Dealer Application FOrm

We are always welcoming to new dealer partner opportunities in North America. So that we can have a better understanding of your current business and the value that it would add to our products, we ask you to provide some information to us. Once we review your data, we will call you promptly to discuss your application.

Products Interested in Reselling: *

Onboard Weighing Scales Load Cells/Load Shackles Crane LMI/A2B

* Indicates required field

Business Registered Name *

HQ Address *

HQ City *

HQ State *

HQ Zip *

Additional Locations: *

HQ Phone *

HQ Fax *

Applicant Name *

Applicant Title *

Applicant Email *

Applicant Phone *

Applicant Location *

Core Business Today

Please describe products you sell and services you offer: *

# of Years in Business: *

Do you sell competitive products similar to ones sold by Scale and Control Inc.? *

Yes No

If yes, please describe the competitive products and brands: *

Do you perceive a value-added benefit between our products and the ones you currently offer? Please describe the benefit or, if no vertical benefit, please explain your interest in marketing our products: *

Do you offer field service and perform product installations? *

Yes No

If yes, please describe: *

Submit