Dealer Application | Innovative Scuba Concepts

We appreciate your interest in our products. Any retail outlets, federal agencies and universities may apply. Unfortunately at this time individual or independent instructors do not qualify to become dealers for our products. Must have a brick and mortar shop to apply.

Dealership Application
Date
DD slash MM slash YYYY
STORE NAME*
STORE ADDRESS*
Street Address Address Line 2 City State ZIP Code
BILLING ADDRESS (IF DIFFERENT)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PHONE
FAX
EMAIL*
WEBSITE ADDRESS
BUSINESS INFORMATION
BUSINESS TYPE
FEDERAL TAX NUMBER
DATE ESTABLISHED
OWNER INFORMATION
OWNER NAME
First Last
ADDRESS
Street Address Address Line 2 City State ZIP Code
STORE DETAILS
STORE HOURS
STATE RESALE NUMBER
NUMBER OF EMPLOYEES
SIZE OF SHOP (SQ FT)
NUMBER OF INSTRUCTORS
ANNUAL NUMBER OF STUDENTS
CERTIFICATION AGENCY
NUMBER OF RETAIL OUTLETS
NATURE OF BUSINESS
MAJOR SCUBA LINES CURRENTLY CARRIED
DO YOU PROVIDE THE FOLLOWING SERVICES
- AIR FILLS AT STORE
- EQUIPMENT REPAIR SERVICE
- SCUBA RENTALS
- ADVANCED CERTIFICATION
- COMMERCIAL DIVING
HOW DID YOU HEAR ABOUT INNOVATIVE SCUBA CONCEPTS?
WHAT IS YOUR ESTIMATED ANNUAL SALES VOLUME WITH ISC?
NUMBER OF COMPETITIVE DIVE STORES IN YOUR AREA?
WHAT IS YOUR CURRENT MARKET SHARE?
ACCESSORY LINES NOW CARRIED
Innovative Scuba Concepts utilize faxing & email for many purposes including: shipping advice, Periodic sale specials, order confirmation or questions, donation approvals, etc. Once approved as a dealer we consider ourselves authorized to fax or electronically mail (Email) to you unless you specifically instruct us not to. If you do not want to receive fax or email communications please write: “Do Not FAX or Email” below.
TERMS:
Sales history must be established prior to consideration for Net terms. Orders will ship credit card or C.O.D.
NAME
First Last
DATE
DD slash MM slash YYYY
SIGNATURE*
DATE
DD slash MM slash YYYY

We appreciate your interest in our products. Any retail outlets, federal agencies and universities may apply. Unfortunately at this time individual or independent instructors do not qualify to become dealers for our products. Must have a brick and mortar shop to apply.

Dealership Application

BUSINESS INFORMATION

OWNER INFORMATION

STORE DETAILS