Dealer Application Information

You may apply for dealer status in one of several ways.

Option 1 - PDF – View/Print Documents

You may click the Dealer Application PDF link below to view, complete, and send to the address below. You may also or print and fill it out by hand. If filled out by hand, you can mail or fax the application to us at the following address:

S.T.A.R. Systems International Ltd.
7465 Conway Ave.
Burnaby, B.C. Canada V5E 2P7
Fax: 604-438-4021
Email: info@starrail.com

View/Print Documents

• S.T.A.R. Dealer Request for Consideration PDF
• S.T.A.R. Dealer Credit Application - This is a PDF form that is viewable and/or printable to be mailed or faxed in with your Request for Consideration.
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Option 2 – S.T.A.R. Dealer Request for Consideration Online Form Below

To determine your qualifications, as a dealer/distributor, we ask that you fill out the following form, in full, and submit your information via the button at the end. All information will be held in the strictest confidence and neither party will be under any obligation as this is not a contract. Use the tab button to move from field to field. Thank you for your consideration of S.T.A.R. Systems.

*(denotes required field)

Name: *

E-Mail Address: *

Company Name

Applicant Name

Company Address

City

State

Postal Code

Company Phone

Company Fax

Website Address

Years in Business

Do you promote other products?

Yes No

If yes, please briefly list other product lines:

Amount of available warehouse space, in Sq. Ft.

Warehouse space in Sq. Ft.:

Height of Space, in Feet:

Annual Sales Volume ($):

Number of employees:

Describe your service territory geographically, including major hubs, etc.

Service territory:

How did you hear about S.T.A.R. Systems?

Friend Ad Magazine Internet Colleague Other

I wish to be a (choose one):

Dealer Distributor

For Distributors, please give the approximate number of customers you currently have broken out by state:

Customers:

Credit application has been completed?:

Yes No

If no, click here to download Credit Application form.

By electronically entering my name below, I verify the information provided is accurate, as of this date, and is offered as information only, not contractually binding in any way.

My Name:

Date:

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