Dealer Application

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This form is for Dive Shop owners, OEM, and/or qualified retailers interested in becoming an Ocean Technology Systems (OTS), Dealer, Stocking Dealer and/or Representative. Please fill this application out completely and submit. An OTS representative will contact you in the next 1-2 weeks.

Name of Store*
Store Owner*

First
Last
Store Manager

First
Last
Phone
Fax
Email
Address

Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code

Country
Business Information
Type of business*
Resale License #

(Required for accounts within the United States)
Conduct Business as*
Business Hours
References

Please list 3 references you are currently doing business with and type of account established.
Name
Type Of Account
Fax
Name
Type Of Account
Fax
Name
Type Of Account
Fax
Banking Information
Name Of Bank
Phone
Fax
Address

Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code

Country
Name On Account
Account Number
Name of person filling out this form

First
Last
Date
Did you speak with an OTS Employee?*
Who did you speak with?
All applications for dealership and credit accounts are subject to review and approval by OTS. Returning this application does not constitute nor imply acceptance of an OTS Dealership, Representation and/or any type of account authorization. In the event of a dispute over merchandise and/or payment, dealer is responsible for legal fees. All information submitted to OTS will be kept confidential.

Dealer Application

Dealer Application

Business Information

References

Banking Information