Cross Distributor Application
Join the Cross Team!
We invite you to apply for a Cross Distributorship.
Cross is expanding its promotional products offering with innovative new designs and creative marketing programs. We are also extending an invitation to distributors to join the Cross Team.
 
A.T. Cross - Application for Distributorship

Applications will be reviewed and evaluated based credit and financial information. Not all applications will be accepted. By submitting the following confidential information you are hereby granting A.T. Cross permission to perfom a Credit Inquiry regarding your Company.
 
Please review and have all required information ready prior to filling out this application.
* Indicates Required Field

Company Legal Name:*
DBA (If Applicable):
Address:*
City:*
State:*
Zip:*
Telephone Number:* --
Fax Number:* --
E-mail Address:*
PPAI #:
ASI #:

Contact Info:
Name:*
Email Address:*

Principals) Name:*

If Principal(s) location is different than the address above, please fill in these fields as well:
Address:
City:
State:
Zip:
Telephone Number: --
Fax Number: --
E-mail Address:


Number of years in the advertising special industry or premium/incentive/recognition industry:
Number of Years:*

Primary markets/regions serviced :
Please describe where your main marketing efforts are concentrated (for example: finance, industrial, insurance, associations, geographic region, government, unions, etc.), and incorporate the reasons why you feel you will be successful selling CROSS writing instruments.

* Do you have a showroom?

If Yes, how many:

Total Number of full-time sales people:*

Total Number of part-time sales people:
Total Number of branch locations:*

List a number of other limited distribution or franchised lines carried.*
None
1:
2:
3:
4:
5:
6:

Financial Information

Current total sales volume in 2016 (as reported to ASI/PPAI):*

Growth % or sales increase over last five years:
Is a current company financial statement available?
Is the company listed with Dun & Bradstreet?
Estimated/potential $$ volume for Cross writing instruments (annual estimate)?
Bank Reference:*
Name:*
Address:*
City:*
State:*
Zip:*
Telephone Number:* --
Fax Number:* --
Contact:*

Trade Reference #1:*
 
Name:*
Address:*
City:*
State:*
Zip:*
Telephone Number:* --
Fax Number:* --
Contact:*

Trade Reference #2:*
 
Name:*
Address:*
City:*
State:*
Zip:*
Telephone Number:* --
Fax Number:* --
Contact:*

Trade Reference #3:*
 
Name:*
Address:*
City:*
State:*
Zip:*
Telephone Number:* --
Fax Number:* --
Contact:*

Trade Reference #4:*
 
Name:*
Address:*
City:*
State:*
Zip:*
Telephone Number:* --
Fax Number:* --
Contact:*

Your Name:*

Title:*
Telephone Number:* --
 
 

Unless we receive your consent, absolutely no personal data will be released to third parties. Cross will not share or sell your personal information with or to any third parties.