Common Contracts
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AUTHORIZED RESELLER AGREEMENTDecember 15th, 2015
CUSTOMER INFORMATION Company: Account #: d/b/a: Billing Name: Billing Address: City, State, ZIP: E-mail Address: Web URL: Telephone #: Fax #: Shipping Address (if different ): City, State, ZIP: E-mail Address: Telephone #: Fax #: Full name of person to receive mailings: Telephone #: Fax #: E-mail Address: Do you have more than one store/branch location? Do you want to become a Certified Dealer? YES YES NO NO If yes, provide a complete retail store listing TOP 3 DISTRIBUTOR PARTNERS (must list at least one) SIGNATURES (complete, print and sign agreement and email to MAP@navico.com) Signature (required): Printed Name (signer): Title (signer): Date: FOR NAVICO USE ONLY Branch ID: USA-United States CAN-Canada LAR-Latin America Terms: Credit Card Authorized to sell (β all that apply) B&G Lowrance Simrad Yachting Simrad Professional Customer Type (Select from drop down menu): Customer Type (Select from drop down menu):
