Manufacturer Term Updates

Manufacturer Name(Required)

Please select the agreed rep territory(s).(Required)

PHL Metro

NY Metro

North Jersey

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Website(Required)

Regional Sales Manager

First Last

Customer Service Contact

First Last

New Order Contact (if different than customer service)

First Last

Quotations Contact

First Last

Marketing Contact

First Last

Commissions Payout Contact

First Last

Out of Territory Spec Registration Contact

First Last

Customer Payment Terms

Freight Terms / Freight Minimum

Minimum Order Amount

Returns Policy:

Warranty Information:

Samples Policy:

Standard Commission Level %

Overage Split (if applicable)

Territory Rep Overage %

Spec Rep Overage %

Standard Payout Cycle (working days)

Who controls pricing? (spec rep, territory rep, etc.)

Do we have an agreed upon sales goal? If so, please list here. (by territory if applicable)

Available CEU Courses:

Please upload manufacturer's price sheet(s), high resolution logo, CEU course information

Drop files here or

Max. file size: 256 MB.