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Interested in being part of our PERK program? Fill out this form and someone from the IMDA team will contact you within two business days.



Type of partnership you are interested in (Check One)

PERK Partner – (those companies who are providing products and services that will require a contract between our dealers and your company. Examples would be insurance, uniforms, merchant credit services and so on)

PERK Vendor – (those companies that are going to provide products and services where no contract will be required for our dealers to purchase your company’s products and services)

Contact Information
First Name *
Last Name *
Title
Phone *
Fax
Email *
Company Information
Company Name *
Address *
City State Zip *
Year Founded *
Number of Employees *
Geographic Information
North America Locations *

Geographic Markets Covered *
(check all that apply)

Eastern US
Midwest US
Western US
Southern US
Canada
Worldwide

 

Are there any areas in North America that you do not serve? (please list)

Business Demographics

Ownership *
Sole Proprietorship
Partnership
Corporation

 

Primary Product(s) & Service(s) *

Who are your top 3 customers?

Who are your top 3 competitors?

What differentiates your product/service from your competitors?