i-Fi Dealer Application

Hi-Fi Dealer Application Form

Please fill out the following form completely and submit it. If you have any questions along the way, please give us a call at 1-800-748-5480. All fields marked with an asterisk (*) are required.

Company Information
Name *
Address *
City *
State *
Zip Code *
Phone *
Fax *
E-Mail Address *
Website
Type of Business *
Sole Proprietor
Partnership
Corporation
Federal Tax ID Number *
Years in Business *
Number of Stores Represented *

Owner's Information
Name *
Street *
City *
State *
Zip Code *
Phone *
Officer Information
CEO
Accounts Payable
Authorized Purchaser(s)
Store Manager
Shop Manager
Bank References
Bank Name
Bank Phone
Contact Person
Account Number
Fax Number
Alternate Contact

Trade Reference 1
Name *
Account Number *
Phone Number *
Fax Number *
Trade Reference 2
Name *
Account Number *
Phone Number *
Fax Number *
Trade Reference 3
Name
Account Number
Phone Number
Fax Number
Company Information
Is your business a distributorship? *
Yes No
Do you sell merchandise via
mail order, online or eBay? *
Yes No
Are you established with GE Finance? *
Yes No
Your Name *
Title *
Today's Date *
As owner and/or authorized officer acting on behalf of this company, I agree and personally guarantee to pay Hi-Fi Company according to the terms and conditions as outlined on each invoice. The information in this application and in all financial statements submitted in connection hereweith is for the purpose of obtaining credit and is represented by the applicant to be true and complete. The applicant authorizes Hi-Fi Company to investigate all credit references and any other matters pertaining to its financial responsibility.
Acceptance of the above listed terms *
I agree

Hi-Fi Dealer Application Form

Company Information

Owner's Information

Officer Information

Bank References

Trade Reference 1

Trade Reference 2

Trade Reference 3

Company Information