Company Profile

Please fax this form along with your re-sale licence to: Rip-Tie, Inc.
Fax: (510) 553-0160
Company Name: __________________________________________________________________________________________
Contact Name: _________________________________________
Title:
 _______________________________________
Street Address: __________________________________________________________________________________________
City: _________________________
State:
 ________
Zip:
 _______________________________________
Phone: __________________________________
Fax:
 _______________________________________
E-mail: __________________________________
Website:
 _______________________________________
Please explain what type of business you are in: _____________________________________________________________________________
___________________________________________________________________________________________________________________
Do you sell a general line or specialty products? ____________________________________________________________________________
If specialty products, please describe (Music, electric, Etc.): ____________________________________________________________________
Do you publish a catalog?
Is it regional / National / International?
 Which countries? _________________________________
Which Rip-Tie Products are you primarily interested in? _____________________________________________________________________
___________________________________________________________________________________________________________________
Please explain your intended applications for Rip-Tie Products: ________________________________________________________________
__________________________________________________________________________________________________________________
Do you re-sell? ( Y / N ) If yes, what is your Resale License#: ___________________________
Do you sell to end users? ( Y / N ) Do you sell to Contractors / Installers? ( Y / N )
Do you sell to retailers? ( Y / N )
Do you have a retail store? ( Y / N ) If yes, how many? ________________________________________
Do you have a showroom? ( Y / N )
How would Rip-Tie Products be displayed in your store or showroom?
Attached to cables on display equipment? ( Y / N ) On pegboards? ( Y / N )
Other? ___________________________________________ Is barcode required? ( Y / N )
Do you have a warehouse? ( Y / N )
do you maintain inventory? ( Y / N )
If no, would you be willing to maintain Rip-Tie inventory? ( Y / N )
Would you be interested in a counter-top display for your Walk-In business? ( Y / N )
Do you have a Toll Free number? ( Y / N ) If yes, what is your Toll-Free number? __________________________________
may we refer customers to you? ( Y / N )
Do you accept Credit Cards? ( Y / N ) Do you accept Purchase Orders? ( Y / N )
Do you have an outside sales staff? ( Y / N ) If so, how many? _________________________________________
Is your company international, national, regional, or local? _____________________________________________________________________
Please define your geographic coverage: __________________________________________________________________________________
Do you require any materials such as instructions, product sheets, price or packing lists? ( Y / N )
If so, which? ________________________________________________________________________________________________________
Does your company have any requirements not mentioned above? ______________________________________________________________
Does your company publish promotional materials? (Please circle one or more)
Catalogs
Newsletters
Flyers
Ads
None
Thank you for your interest in Rip-Tie Products. Additionally, please mail or fax the following:
  1. Documentation showing that your company is in the business of reselling similar or related items: (i.e. line card, advertisements, brochure of products your represent), in addition to a resale license.

  2. Completed credit application or your prepared credit reference sheet and this client profile sheet. Credit checks take on average two weeks to complete. If you need your opening order to be expedited before then, please pre-pay by check, bank card, or have it shipped C.O.D.
Rip-Tie advertises in more than 20 national and international trade publications. We receive leads from all over the world. It is our policy to refer prospective end-users to their nearest stocking Rip-tie distributor. The information you have provided above will help us serve you better and will also help us direct new customers to you.
Please use the following information when corresponding with us:
Rip-Tie, Inc.
P O Box 549
San Leandro, CA 94577
 Telephone: (510) 577-0200
Fax: (510) 553-0160
email: sales@riptie.com