First Name *

Point of Contact First Name

Last Name *

Point of Contact Last Name

Title *

Point of Contact Title

Company Name *

Legal business name - Do not include DBAs

Company Websites *

Please provide your primary company website and any additional websites you may sell EOTECH product on.

Company DBAs

Please list any and all DBAs the company may be utilizing.

Phone Number *

Fax Number

Email Address *

Years in Business *

How did you hear about EOTECH? *

Primary Location Address *

Opening Time *

Standard Operating Hours (If online, please specify customer support hours.)

Closing Time *

Do you have any additional locations?

Yes No

Please provide any addtional physical locations you intend to sell EOTECH products.

Location Address

Business Verification *

Enter Federal Tax ID
Upload Business License

Upload Business License *

Choose file or drag here

Supported format: JPG, JPEG, PNG

temp-for-104477-file2-1_

Federal Tax ID *

What other optics brands do you carry? *

Vortex
Leupold
Holosun
Aimpoint
SigSauer
Trijicon
Nightforce
Maven
Steiner
Bushnell
Pulsar
OSight
Primary Arms
SureFire
Other

Select all that may apply.

What are your top 3 selling optics brands? *

Vortex
Leupold
Holosun
Aimpoint
SigSauer
Trijicon
Nightforce
Maven
Steiner
Bushnell
Pulsar
OSight
Primary Arms
SureFire
Other

Select all that may apply.

How much do you sell in optics annually? *

Dollar in hundreds

How much do you anticipate in selling annually with EOTECH? *

Dollar in hundreds

Where do you purchase EOTECH products from currently? *

Factory Direct
Distribution
Buy Group
Other

What are the top 3 distributors you purchase from? *

What are the reasons why your organization would be a good fit to become an EOTECH Dealer? *

How do you plan on promoting and selling EOTECH products? *

Are you seeking terms? *

Is over 50% of your revenue from Law Enforcement Agencies or Officers? *

No - Primarily Commercial
Yes - Primarily Law Enforcement

Is there a shooting range on site? *

Additional Notes and Considerations

Thanks for applying!

We appreciate your interest in becoming an EOTECH Dealer. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for applying!

We appreciate your interest in becoming an EOTECH Dealer. One of our colleagues will get back in touch with you soon!

Have a great day!

HWS®

THE HOLOGRAPHIC EDGE.