Professional Documents
Culture Documents
7777
F: 1.954.674.2817
3101 SW 25th St. Bay #100,
Pembroke Park, FL 33009
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
1
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
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
2
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
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).
MDNA102-V0-EN
3
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
SECTION 4: Sales
MDNA102-V0-EN
4
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
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: ____________
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
5
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
You can email us at sales@bnhgenerators.com and include the above information or provide
them to us using your B&H contact person.
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.
MDNA102-V0-EN
6
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
______________________________ ______________________________
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
7
sales@bnhgenerators.com|bnhgenerators.com