New Dealer Application

Store Name

Tel

Country

Address

Address 2

City

State / Province

Postal Code

Type of Business:

ProprietorshipPartnershipCorporation

Owner

Authorized Buyer / Contact

Please Complete the following:

1. Do you currently carry other sunglass brands? If so, what brands?

2. What is the average retail price of accessories / watches / handbags sold in your store?

3. List 3 of your current top selling brands:

4. How would you describe the demographic of your customer?

5. Briefly describe the look and feel of your store.

6. List of Business Social Media Accounts (Instagram, Facebook, etc.)

Date: 06-10-2026