WildBlue "Dealer Locator" Sales Office Form

Make sure we have your up-to-date information, so potential customers can contact you

The WildBlue Dealer Locator on wildblue.com allows prospects visiting wildblue.com to find their nearest WildBlue dealer.

Eligibility Requirements:

New dealers must sell 3 systems before they are eligible to be listed on the locator.
Existing dealers must sell 3 systems per quarter to remain on the locator.

Please use this form to add sales office information to the WildBlue Dealer Locator. Once the contract is approved by WildBlue, and the dealer sales ID is assigned, selected information (in bold below) will be made public. Other fields will be used internally by WildBlue. Please use one form per location update / addition.

By submitting this form, the dealer agrees to accept leads from WildBlue via phone and email. Leads forwarded to the dealer not sold within two weeks will be subject to additional WildBlue marketing.

* = Required fields

*Please select one:

I'm a new dealer:
	I'm not yet listed on the locator. My primary sales office information is below.
I'm an existing dealer:
	I'm updating my active location information below.
	I'm adding a secondary location below.

*9 digit sales ID:

*Company Name on WildBlue Contract:

DBA (if applicable):

*Street:

*City:

*State:

*Zip Code:

e.g. 80111

*Phone:

e.g. (000) 000-0000

*EMail:

Note: Leads and WildBlue communications will be sent to this address

Website:

*Contact First Name:

*Contact Last Name:

*Contact Phone:

Notes: