Dealer’s Info Form - Vampire Tools

Date *

Contact Name *

First

Last

Business Name *

Brief description of the overall business activity *

Contact Email *

Contact Phone Number and the best day(s) and best time to call for a discussion *

Business Address (Headquarters) *

Address Line 1

Address Line 2

City

State

Zip Code

Number Of Years In Business *

Number of Business Locations *

Brief description of the region where your business outlets are located *

Number of Tool Trucks *

Annual Sales *

Title