To apply to become a Tire Lyna distributor, please fill out and submit the following application form. All information sent to us will be considered private and confidential.

1. General Information
Contact Name:
Company Name:
Position:
Address:
Telephone:
City:
Province:
Postal:
Fax:
Email:
Cities you are currently doing business in:
2. Profile Information
Personal Years in industry:
Years in Business:
Number of Locations:
Number of Employees:
Comments:
What other products do you sell or represent?
Industry Applications (Who do you sell to?)	Automotive
	Trucking
	Mining
	Agriculture
	Construction
	Buses/Coach
	Equipment
	Sub-Distributors
Industry Association Memberships:	None
Internet Capabilities:	None
	Internet Access
	I take orders via Email
	Website
Website Address:
3. Marketing/Sales Process
Marketing (How are you currently marketing your products?)	Direct Mail
	Door to Door
	Telephone Cold Calls
	Advertising
Type of Advertising:
	None
Marketing Materials (What are you currently using?)	Brochures
	Samples
	Internet/Web Sites
Others:
	None
Products/Services Tire Lyna could/should provide you with?
Leads (Where do your Sales Leads come From?)
	Friends/Family
	Direct Mail
Others:
Pricing: Is pricing an issue for you?)	YesNo
Comments:
Priority: List the following; Price, Product, Service in order of importance:
Comments:
Selling System used predominantly (currently)	Telephone Cold Calls
	Walk-in Cold Calls
	Appointments by Phone
Others:

Please Click on the "Apply" button below to process your Application. Thank you.