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Resellers Application

Disclaimer and Privacy Notice: This document is an application form. Its purpose is to ensure that the Rasha Professional A/S brand is represented by suitable businesses. Rasha requires all applicants to complete a Resellers Application form. The information provided will be treated confidentially and used solely for the purpose of selecting the right partners for our brand. Any investment and expenditure made by Authorized Dealer contract are at the applicants sole risk and do not in anyway obligate Rasha Professional A/S.

A Resellers Application (Application”) must be reviewed by a Rasha Professional A/S Sales Manager. Please allow approximately 30 days for review and process of your Application.

Please be advised that under no circumstances does the submittal of your Application to Rasha Professional A/S LLC. Review and processing do not imply in any manner Rasha Professional A/S LLC’s intention to approve you as a Rasha Professional Authorized Reseller.

The Applicant shall not be deemed to be an Authorized Reseller by Rasha Professional A/S LLC unless and until the full execution of a new or updated Resellers Contract(s). No employee or agent of Rasha Professional A/S LLC has the authority to waive or otherwise deviate from the foregoing procedures and should any deviation from the Application procedure occur, the waiver or deviation from the Application procedure shall not be binding upon Rasha Professional A/S LLC.

APPLICANT’S PERSONAL DATA

First
Last
MI
Street
City
State
Zip
Length at Current address

APPLICANT’S EXISTING BUSINESS DATA (IF APPLICABLE)

If you presently own, operate, and/or control a business(es), please complete the below information on such business(es). If you own/control more than one business, list your primary business and use the below note section to describe your other business

DD
MM
YY
  • Corporation
  • Limited Liability Company
  • Partnership
  • Proprietorship
Street
City
State
Zip
Length at Current address
 
Cities you prefer to cover annually
  
Last years Gross Sales
Plan of Action
 
Interest
Product line
Specify type
Remarks
Entertainment Lights
Effect Light
Architectural Light
Exterior Lights
Pin Spots
Wall Washers
Other (Please specify)
 
 
 
 
 
 
 
 
 
 
 
 
Other (Please specify)
 

DECLARATION

  1. Confirm that the information given in this form is in all aspects true and correct.
  2. Authorize Rasha Professional A/S to make inquiries and check references to confirm provided information.
  3. Understand that the data provided will be held securely in confidence and processed for the purpose of carrying out our business and associated activities.
Name