Tri-Tronics, Inc. - Influentials Club Application For Membership

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TRI-TRONICS INFLUENTIALS CLUB

INFLUENTIALS CLUB APPLICATION

Apply for Membership:

Thank you for your interest in the Influentials Club. Membership benefits include the following: Two remote e-collars of your choice at 30% off Our Price during each year of membership Personalized clothing on each anniversary date. Preferred customer service, and a 25% discount on any product service by calling our toll free line 800-765-2275 The ability to become an Influentials Club dealer, where you may receive a 10% commission. Please complete the survey form. We will get in touch with you by mail to let you know if you have or have not been accepted to the club. If you have any questions regarding the form, please call us at 800-673-5564 or contact us at ic@tritronics.com. Please note that it takes from 7-10 days to process your application, depending on how many requests we receive. Thank you again for your interest.
*First Name
Middle Initial
*Last Name
Business Name:
*Address
Address 2
*City
*State/Province
*Postal/Zip Code
*Country
*Telephone	(111) 222-3333
*E-mail
Website

Did you use E-collars in your training?	Yes No
How long have you used E-collars?

Which Brand?	Tri-Tronics Other

Are you a:	Professional Trainer Amateur Trainer Judge Other

How many days per week do you train?
How many hours per day do you train?
What type of training do you do most?
What breed of dog?

Do you attend/offer E-collar seminars?	Attend Offer Both

Do you train for?	Self Others Both

Do you compete, if so in what events?	Yes No If yes: Regional National Field Trials Hunt Test

How many years have you been competing?
Number of events competed in per year:
Number regional or national events you competed in:
How many dogs do you campaign at once?
How many days a year are you on the road campaigning?

Would you be willing to represent Tri-Tronics at Field Trials and/or Hunt Tests?	Yes No

Have you placed any titles on a dog in the last 3 years?	Yes No

List the titles earned:
What would you consider your greatest dog-related accomplishment?
Were you recommended by an existing member? If so, who?