Register

Please fill in form to complete registration. Please note that account is subject to vetting. You will receive your username and password once vetted.

( Fields marked with an * are mandatory )

GENERAL INFORMATION

Company Name: *
Address: *
Date Established:*
Years in Business:*
Number of Employees:*
E-mail Address?:*
Create your Password:*
Verify Password:*

SHIPPING INFORMATION (IF DIFFERENT THAN BILLING)

Main Phone Number:*
Website:*
Email Address: *
Type of Business: *

TRADE REFERENCES (PLEASE LIST MOST RELEVANT TO OUR INDUSTRY)

Name:
Account Number:
Address:
Phone Number:
Fax Number:
Name:
Account Number:
Address:
Phone Number:
Fax Number:
Name:
Account Number:
Address:
Phone Number:
Fax Number:
Name:
Account Number:
Address:
Phone Number:
Fax Number:

INFORMATION ABOUT YOUR BUSINESS

How many employees do you have?:*
How many jobs do you average per year?:*
How many sales people do you have?:*
What percentage (%) of your jobs are new construction?:*
How many installers do you have?:*
What percentage (%) of your jobs are retro-fit?:*
How many builder relationships do you have?:*
What percentage (%) of your jobs are commercial?:*
What is your average equipment billing per job?:*
What is your average labor billing per job?:*
What was your total company revenue last year?:*
What is your projection for revenue this year?:*
Who will be performing the system programming? (If Applicable):
Does anyone in your company have a background in networking? (Please Explain):*
Please share the background of those that will be doing system programming:*
Have any of your installers received special training or certification? (Please List):*
Which products would you like training on and how many staff would you like to send on training?:*
How do you see Homemation’s product line fitting into your product mix?:*

WHAT PRODUCT LINES DO YOU CURRENTLY CARRY? (PLEASE LIST BRANDS FOR EACH CATEGORY BELOW)

Home Theater Components?:*
Distributed Audio?:*
Lightning?:*
HVAC?:*
Security?:*
Speakers?:*
Control?:*
TV’s / Displays?:*