Become a Wilmington Grill retailer...

Application to provide retail sales

Complete the follow form to apply to become a Wilmington Grill retailer.
All information is required unless noted otherwise.

Company Information

company name

street address 

suite, apartment or unit

state            zipcode

Tell us a little about your company.

describe your company (type of business, locations, etc.)

main product or service

tell us other grill line you represent

existing outdoor product lines

what geographic area does your business cover?

company web site

annual revenue (gross)

Federal Tax ID

Sales and Marketing activity

Do you have a marketing/business plan?   
Indicate your expected annual grill unit sales

What is your annual marketing budget?

Banking Reference

bank name


bank contact (optional)

Contact Information

contact name

telephone                                  fax (optional)

email address 

comments or questions: (optional)

enter the verification code shown below: