DEALER APPLICATION


Contact a Melbourne LED representative for more detailed information. Although the process may be a simple one, the benefits are vast. Don't wait, apply to be a dealer today!

To start the conversation, please fill out the form below so we can get to know you and your goals a little better. Once you submit the form, a Melbourne LED representative will contact you with more details of our Authorized Dealer program.

1.Customer Information

Company Name*
A.B.N*
Address*
State
Post Code*
Contact Name*
Company Email Address*
Phone No.*
Fax No.
Mobile No.*
Company Website
Year in Business
Type of Ownership*

2.Key Contacts

Director / Ower*
Sales / Marketing Manager
Accounting Manager
Installation Manager
Service Manager

3.Marketing / Product Information

Market Focus
Geographic Region Served
Years Of Electronic Sign
Experience