ASSOCIATE RETAILER DIVISION APPLICATION

 

Companies that distribute retail satellite reception systems and programming to the consumer.

 

Associate Retailer Annual Dues: $110.00
 

Please complete the following application and submit:

 

Company Name

Street Address

City, State, Zip Code

Phone Number

Fax Number

URL

Contact Name

Title/Position

Phone Number

E-Mail Address


Products/Services (can check more than one):      Contract Type:

DIRECTV 

Commercial VSAT  Residential
DISH Audio/Video Commercial 
Exede   MDU
HughesNet   Restaurants & Bars
DSI Authorized Retailer    
Satellite Radio    

                             

How many technicians do you have on staff? 1-5  6-10  11-20  20-50   50+

 


Total Amount Due:
$110.00

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