Institutional Distributors Survey Please tell us who distributes your child restraints to institutions. "*" indicates required fields Thank you for assisting us in collecting this information about institutional distributors. Our purpose for gathering this information is to post and maintain a list on the Safe Ride News website. Manufacturer Rep Name*Thank you for filling out this form with your company information! First Last Email*We will get back to you at this email address with any questions. Company Name / Brand(s)*If you represent multiple brands for which the Institutional sales status differs, please fill out a separate survey for each. Thanks! Does your company offer car seats/boosters through institutional sales channels?Please check all that apply. Yes, our company sells products at discounted pricing through our company, directly selling to institutions. Yes, our company sells products at discounted pricing through a third-party distributor. No, we do not offer any products with institutional and/or bulk pricing at this time. First Distributor Name (or your company)This could be your company/brand or a third party. If you have multiple distributors, an opportunity to indicate others will be provided below. Institutional Sales Rep Name(s)If you have an internal rep (or reps) and/or there is a person dedicated to sales at your third-party distributor, please provide the name(s) here. EmailIs there an email address to contact for institutional sales? WebsiteWhat is the website address for the distributor(s)? (If internal, indicate website only if there is a site dedicated to your institutional sales channel.) Phone NumberIs there a phone number for institutional sales (third-party or internal)?Does your company have another distributor for institutional sales?Do you have more than one distributor? Yes, we have more than one distributor for institutional sales. No, just the one distributor listed above. Second Distributor Company Name Institutional Sales Rep Name(s)If there is a person dedicated to sales at your third-party distributor, please provide the name(s) here. EmailIs there an email address to contact for institutional sales? WebsiteWhat is the website address for the distributor(s)? Phone NumberIs there a phone number for institutional sales?Does your company have another distributor for institutional sales?Do you have multiple distributors? Yes, we have more distributors for institutional sales. No, just the distributor(s) we have listed above. Third Distributor Company Name Institutional Sales Rep Name(s)If there is a person dedicated to sales at your third-party distributor, please provide the name(s) here. EmailIs there an email address to contact for institutional sales? WebsiteWhat is the website address for the distributor(s)? Phone NumberIs there a phone number for institutional sales?Does your company have another distributor for institutional sales?Do you have multiple distributors? Yes, we have more distributors for institutional sales. No, just the distributor(s) we have listed above. Fourth Distributor Company Name Institutional Sales Rep Name(s)If there is a person dedicated to sales at your third-party distributor, please provide the name(s) here. EmailIs there an email address to contact for institutional sales? WebsiteWhat is the website address for the distributor(s)? Phone NumberIs there a phone number for institutional sales ?Does your company have another distributor for institutional sales?Do you have multiple distributors? Yes, we have more distributors for institutional sales. No, just the distributor(s) we have listed above. Fifth Distributor Company Name Institutional Sales Rep Name(s)If there is a person dedicated to sales at your third-party distributor, please provide the name(s) here. EmailIs there an email address to contact for institutional sales? WebsiteWhat is the website address for the distributor(s)? Phone NumberIs there a phone number for institutional sales?Does your company have another distributor for institutional sales?Do you have multiple distributors? Yes, we have more distributors for institutional sales. No, just the distributor(s) we have listed above. For additional distributors, please submit this survey and start a new one. We will combine the information from the two surveys.Does your company offer a technician discount or other training seat program? Yes No Who can techs contact to learn about this program (name/email/phone)? Any additional information or clarification you would like to provide?
