Applicant Distributorship Information
All owners/officers of the distributorship who have the authority
to sign for any future changes in your ASI listing must be shown
here. It is the responsibility of the principal owner/officer of
the distributorship to notify ASI of any changes regarding owners
and officers. Please list only Proprietor, Partner, Chairman, President,
Vice President, Secretary/Treasurer or Stockholder. Show as many
as are applicable.
PRINCIPAL ASI CONTACT (From
If Incorporated, please indicate if the distributorship
is listed on a recognized stock exchange, over the counter, or if
the company is a closely held corporation:
Membership in a local, regional
or national promotional products trade association? *
If yes, please give the name and address of the association.
of customer accounts your distributorship deals with in one year
Multiple branch locations? Please
list branches here.
Note the name, city and state of the company(ies)
with which the applicant distributorship or any owner/officer of
the company is connected and the business relationship (i.e.: subsidiary,
common ownership, etc.) between the two. Indicate if it is a subsidiary
or branch of (or otherwise formally associated with) another company
in the specialty advertising/promotional products or any other business.
Company names of other businesses you operate
What special services and/or facilities do you offer your clients?
– What Activities are an important part of your
– What types of accounts does your distributorship
primarily sell to? Accounts/Primary
(Select Top 5)
Agriculture & Farming
Clubs, Associations, Civic Groups
Financial (Banks, S&L, Credit Unions)
Schools, Colleges, Universities
Clothing, Appliances, Soft Goods
Food, Tobacco, Sundries
Chemical & Pharmaceutical
Retail (Stores, Shopping Centers)
Professional Office (Doctors, Lawyers)
What are the main product lines that your distributorship
PLEASE LIST FOUR (4) SPECIALTY ADVERTISING, GIFT INCENTIVE
OR PREMIUM SUPPLIERS (other than those who may be affiliated with
your distributorship) with whom you are presently doing the greatest
amount of business. These references will be published to help suppliers
process your orders more expediently.
ASI Group *
Most comprehensive Internet discussion service in
the promotional products industry is free for all ASI members! Enables
you to network with other ASI® distributors at your convenience,
Use this dynamic communication tool to:
Discuss business ideas with fellow promotional products professionals.
Ask about how others might have overcome problems they are
dealing with now.
Exchange ideas on promotional and marketing plans.
Ask for advice on hot topics like dealing with difficult customers
or sales compensation.
Would you like to join our Distributor ASI group?
Indicate Credit Card to
be Charged: *
Must fax proper invoices to Member Services at 1-800-546-1399 or 215-953-3535.
You must submit copies of invoices from at least three different ASI suppliers addressed to you,
each over $100, and dated from within the past year. These invoices must be promotional products, but not purchased
for use by your company or any entity affiliated with your company (We do not use the information you provide to
contact your clients.) This will help establish your company's credit profile, allowing you to place orders more
quickly with ASI supppliers.
If you have any questions call the ASI Member Services Department at 866-JoinASI (866-564-6274)
* How did you learn about ASI?
Direct mail, email or fax
If post card, mailing, or other, please enter promotional
code or name of other source.
Applicant agrees that it shall indemnify
and hold harmless ASI for any and all damages and costs resulting
from the submission of any inaccurate or incomplete information.
asterisks are required fields