DWG New Dealer Sign Up

This form is to be submitted by a company that is registering to become a DWG dealer. Once submitted and processed, you will receive a welcome email with username and password enabling access to view our entire product catalog at dealer pricing, generate quotes, and place orders online. Your initial payment terms will be set as credit card.
Please note, accounts with little or no purchasing may become disabled.

Company Information:
Company Name:*
Address:*
Address 2:
City:*
State/Province:*
Zip Code:*
Country:*
Phone:*
Company Email:*
Website:
Federal Tax ID:
Year Established:*
Number of Employees:*
Annual Sales:*
Current Distributors:*
What brands do you install?*
Company Description:*
Company Social Media Handles (Optional):
Facebook Page URL:
Twitter Handle:
Instagram Handle:
LinkedIn Page URL:
YouTube Channel:
TikTok Handle:
Pinterest URL:
Yelp Page URL:
Primary Contact Person:
First Name:*
Last Name:*
Title:*
Phone:*
Email:*
How did you find DWG?*
Please describe any thoughts and ideas on how to best do business with DWG along your immediate needs.:*
Additional Comments:*

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DWG - 800 Shames Drive , Westbury , NY 11590 , USA - 516-933-4900

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