Dealer Application – KUCHT Professional

Dealer Application Form

We are pleased that your company is interested in becoming a Kucht dealer. We are striving to become a kitchen appliances leader and we work very closely with our dealers to assure that we will always have satisfied customers.

Company´s Legal Name *

Contact Name *

First

Last

Title *

Mobile *

Phone

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

About Your Business

Date of Incorporation

TAX ID *

Number of sales staff

Website / URL *

Last year´s revenue *

Projected revenue for this year *

Major Customers *

Vendors Represented

Bank Name

Account Number

City

State

Officer´s Name

Phone

Email *

Name