Dealer Member Application – National Emergency Generator Dealer Association

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Use the form below to fill out the application online OR download the application here.

Company Name

Primary Contact *

First

Last

Primary Contact Title

Primary Cell Phone #

Primary Office Phone #

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address (if different from Mailing)

Address Line 1

Address Line 2

City

State

Zip Code

How many years have you been in business as a full-service generator dealer?

Which markets do you serve (check all that apply)?

Does your company provide 24/7 generator service?

Is your revenue solely based upon generator related sales and service?

What percentage of your business revenue is generator sales and service?

Which generator brands do you represent

How many factory authorized technicians do you employ?

What is your total generator related revenue including new equipment sales, installation, and service combined for last year?

What other professional/trade associations do you belong to?

How many generators are in your rental fleet?

How would describe the territory your company covers? Please include all states and/or regions you do business in:

How do you feel you could enhance the mission of NEGDA?

What do you hope to gain through NEGDA membership?

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