asap-mailbox-dealer-form

Company Name:

Business Address:

City:

State:

Zip:

Contact Person:

Email:

Phone:

# of Employees:

Do you have space to store mailboxes, posts, etc. at your location?

Yes No

Do you have Worker's Comp Coverage?

Yes No

Do you have General Liability Coverage

Yes No

Where Does Your Business Operate From?

Business Location Home Location

Main Interest In Becoming An ASAP Mailbox Dealer

Check Options That Apply (required)

1. Access to wholesale pricing for your line of mailboxes for individual installs. 2. Access to your fabrication and powder coating services in order to target HOA Community Accounts

If you chose #2 above, would you be willing to spend money on additional direct mail marketing efforts designed to make you the Preferred Mailbox Vendor for HOA’s in your market? If yes, please enter the amount you are willing to spend per year in the box on the right.

Amount

Comments or Questions