Bray Windshield Skin Super Stretch Dealer ApplicationHome→Bray Dealer Application First Name(Required) Last Name(Required) Company Name(Required) Street Address(Required) City(Required) State(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code(Required) Email(Required) Website(Required) Telephone(Required) Sales Rep(Required)Don’t KnowNick CraigIrwin EverittChrissy ForbesMarian GiorgakisShawn HobsonManny HondroulisJeffrey LipitzTrevor LopezJim PassageJimmie RigginsPam RizziMarketing (check all that apply) Facebook Instagram Mobile-Friendly Website Reputation Management Other Please Specify(Required) What is your current annual marketing budget?(Required) Film Purchases (The sum of these four numbers should total 100%. )(Required)% of film purchased that is Windshield Protection Film% of film purchased that is Automotive Window Tint% of film purchased that is Paint Protection Film% of film purchased that is Color Change Vinyl FilmDo you have a retail location?(Required)YesNoDo you have a business license? Yes No If no, please explain.(Required)What is your geographical service area?(Required) How many installers do you have?(Required) Will you need installation training?(Required)YesNoFilm Purchases (Click the + sign to add more lines.)(Required)Supplier Name2024 Year-to-Date Purchases2023 Total Year Purchases Add RemoveHow did you hear about us?(Required)Please SelectIndustry EventSocial MediaEmailTelephone CallPrint AdvertisementDigital AdvertisementGoogle SearchReferral / Word of Mouth1. Completing this application does not guarantee that you will become a dealer. 2. If your application is viewed favorably, a face-to-face meeting or webinar may be scheduled to discuss your candidacy further. 3. A formal business plan may be requested. 4. An initial opening order may be required.