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P: 1.954.657.

7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM


Mark which type of DNA you are applying for:
( ) DNA+ PS&S DNA Plus: Partner, Sales & Services
( ) DNA+ S&S DNA Plus: Sales & Services
( ) DNA+ S DNA Plus: Services

Please indicate region of influence by your DNA (Country &State(s)):_____________________________


_____________________________________________________________________________________

SECTION 1: General Information

Company:____________________________________________________________________________
Address: _____________________________________________________________________________
State:_____________________________________City:_______________________________________
ZIP code:__________________________________Country:____________________________________
Phone(s):_____________________________________________________________________________
Fax:_________________________________________________________________________________
Email:________________________________________________________________________________
Website:______________________________________________________________________________

Branches:
1)Branch Office:_______________________________________________________________________
Address: _____________________________________________________________________________
State:_____________________________________City:_______________________________________
ZIP code:__________________________________Country:____________________________________
Phone(s):_____________________________________________________________________________
Fax:_________________________________________________________________________________
Email:________________________________________________________________________________
Website:______________________________________________________________________________

2) Branch Office:_______________________________________________________________________
Address :_____________________________________________________________________________
State:_____________________________________City:_______________________________________
ZIP Code:__________________________________Country:____________________________________
Phone(s).:_____________________________________________________________________________
Fax:__________________________________________________________________________________
Email:________________________________________________________________________________
Website:______________________________________________________________________________

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com
P: 1.954.657.7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM

3) Branch Office: _______________________________________________________________________


Address: _____________________________________________________________________________
State: _____________________________________City:_______________________________________
ZIP Code: __________________________________Country:____________________________________
Phone(s):_____________________________________________________________________________
Fax: _________________________________________________________________________________
Email:________________________________________________________________________________
Website:______________________________________________________________________________

In the case of having more branches, please provide full information about them (Name of the branch,
Address, State, City, ZIP Code, Phone(s), Fax, Email and Website)

SECTION 2: Contacts

Owners:
1) Name: _____________________________________________________________________________
Percentage of Ownership:________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

2) Name: _____________________________________________________________________________
Percentage of Ownership:________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

3) Name: _____________________________________________________________________________
Percentage of ownership:________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

Legal representative:
Name: _______________________________________________________________________________
Tittle:________________________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com
P: 1.954.657.7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM


Purchaser:
Name: _______________________________________________________________________________
Tittle: _______________________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

Administration / Accounts payable:


Name: _______________________________________________________________________________
Tittle:________________________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

Logistics/Shipping:
Name: _______________________________________________________________________________
Tittle:________________________________________________________________________________
Phone(s):_____________________________________________________________________________
Email: _______________________________________________________________________________

If you need to add more contacts, please provide them with complete Information (Percentage of
shares, Tittle, Phone(s), and Email).

SECTION 3: Type of Business

Type of business: _________________________________________


Years in business: _________________________________________

Total number of employees: ________________________________


Number of generator salespersons: _____________________________________
Number of generator maintenance and service employees:__________________
Number of generator engineers: ______________________

Do your personnel receive technical and commercial training: _______________


Do you have a showroom area? ___________________________
What is the showroom size (square footage)? ________________
Do you have storage space? ______________________________
What is the size of the storage (square footage)? _____________

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com
P: 1.954.657.7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM


Do you keep generators in stock? _________________________
How many generators units do you keep in stock?____________
What is the approximate value (US $) of your generator inventory? _____________

Do you purchase generators in local markets?_______________________________________________


What brand(s):________________________________________________________________________

Do you import generators to sell? _________________________________________________________


What brand(s) do you import?____________________________________________________________
From what countries do you import generators? _____________________________________________

Do you build or assemble generators?______________________________________________________


Does your business own a generator Brand to sale? ___________________________________________
In case of having your own brand, what is the name? _________________________________________

Do you purchase spare parts in local markets? _______________________________________________


What type of spare parts?________________________________________________________________

Do you import spare parts to sell? _________________________________________________________


What type(s) / brand(s) do you import? ____________________________________________________

Do you have your own spare parts brand? __________________________________________________


If you have your own brand, what is the name?_______________________________________________

Do you provide generators for rent?


_____________________________________________________________________________________
Number of generators available for renting: _________________________________________________
Do you provide generators engineering services? _____________________________________________

SECTION 4: Sales

Current sales territories (provide city and states):_____________________________________________


_____________________________________________________________________________________
_____________________________________________________________________________________

Do you have plans to expand your sales territories? ___________________________________________


In case of expansion, what territories are you trying to reach? __________________________________

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com
P: 1.954.657.7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM


Number of generators sold annually for industrial application:___________________________________
Number of generators sold annually for residential application:__________________________________
Number of generators sold annually for renting purpose:_______________________________________
Number of generators sold annually for marines application:____________________________________

Specify the number of generators annually sold based on application and power:
From power of 1 to 30 kVA: Industrial______ Residential_______ Rent_______ Marine________
From power of 31 to 80 kVA: Industrial______ Residential_______ Rent_______ Marine________
From power of 81 to 250 kVA: Industrial______ Residential_______ Rent_______ Marine________
From power of 251 to 500 kVA: Industrial______ Residential_______ Rent_______ Marine________
From power of 501 to 1000 kVA: Industrial______ Residential_______ Rent_______ Marine________
From power of 1001 kVA up: Industrial______ Residential_______ Rent_______ Marine________

Specify the number of generators sold annually with sound cover protection: ____________
Specify the number of generators sold annually with open configuration: ____________

Do you provide services or maintenance to gensets? _________________________________________


How many services or maintenance per year? _______________________ _______________________

The following Information is only required from DNA+P, S&S

Annually sales for the last three years: _____________________________________________________


What’s the average profit margin per gensets: _______________________________________________
What’s the average profit margin per spare parts: ____________________________________________
What’s the expected margin of sales expected for the next three years: ___________________________

Do you run any type of promotion / marketing effort? Please specify:


_____________________________________________________________________________________
_____________________________________________________________________________________

What’s percentage per total sell you provide for promotion / marketing efforts: ____________________

Do you use social networks to promote your products and services? _____________________________
What social networks do you use? _________________________________________________________

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com
P: 1.954.657.7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM

Become part of Brags & Hayes DNA Network!

To be part of B&H DNA Network, it is necessary to provide us the following information:

1. DNA application form (MDNA102 form) completed and duly signed*


2. Business legal name and information
3. Tax ID number
4. Business organization chart
5. Pictures of the premises where business is located
6. If possible, reference letters of jobs done and pictures.
7. Last three year’s financial reports (apply only to DNA P, S&S)

You can email us at sales@bnhgenerators.com and include the above information or provide
them to us using your B&H contact person.

These documents will be kept in B&H records as confidential.

If you have any concern filling in the required documents, please do not hesitate in contacting
us. We will be glad to assist.

Once we receive your completed application, B&H will evaluate your application. As soon the
application is approved, a Territory Alliance Agreement will be sent to you to be signed by both
parties to formalize the alliance between the DNA and B&H.

*Stamp initials on each page


* Please duly sign below section
* Sign on each page and sign in the section below.

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com
P: 1.954.657.7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009

DNA APPLICATION FORM

______________________________ ______________________________
LEGAL REPRESENTATIVE NAME BUSINESS NAME

______________________________ ______________________________
LEGAL REPRESENTATIVE SIGNATURE DATE

B&H thanks you for your interest in being part of our DNA Network.

MDNA102-V0-EN
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sales@bnhgenerators.com|bnhgenerators.com

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