1.03 MBA APPLICATION (DFS GEP)

MBA DEALER APPLICATION

PLEASE READ! To be considered for a Mattress By Appointment location, you must complete the DEALER APPLICATION below. Once your Dealer Application is submitted, it will be reviewed by our team and we'll be in touch within 48 hours on the next steps in the process.

First Name *
Last Name *

Email *

Home/Billing Street Address *
Apt or Suite #
Home/Billing City *

Home/Billing State *

Home/Billing Zip Code *

Phone *

Requesting Territory City *

(Maximum 25 miles from your home)

Requesting Territory State *

Your Age Range *

Ethnicity *

Gender *

MaleFemale

Education *

Employment Position Level *

Current Employment Status *

Prior Experience in Furniture and/or Mattress - Retailer or Wholesaler (Experience not required for approval) *

Current Household Income *

Do You Own or Rent? *

Average Checking Balance *

Average Savings Balance *

Investment Account Average Balance *

Available Dollars on Credit Cards or Lines of Credit *

Hours Available Per Day? *

Days Available Per Week *

How many Hours Per Week Are You Willing to Work? *

How Much Do You Have to Invest? *

(Include cash, savings and credit lines available to you)

Where Did You FIRST Learn About Mattress By Appointment? *

If you answered "Dealer Referral" in the question above,

please enter the referring Dealer's name below:

If Referred, Who Referred You?

Who will be the primary person operating your dealership? *

We'll be in touch within 48 hours after your application is reviewed.

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