Roll O ne D istribution
RETA IL D EA LER A PPLIC A TIO N
Thank you for your interest in becoming a Roll One Dealer. Please take time to fill out
this application completely and accurately, as this will be our primary source of
information about your business. We are sorry, but incomplete applications cannot be
considered. Be sure to sign this application in all of the designated areas. Return it to
us along with any other financial, credit, or marketing information that you believe will
be of help to us in reviewing your application for dealership. (Please print or type.)
Store Name:___________________________________________________________
Store Address:_________________________________________________________
City:_______________________________State:______________Zip:_____________
Phone #:___________________________Fax #:______________________________
E-mail or website:________________________________________________________
Type of Business: Proprietorship:_____Partnership:_____Corporation:_______
Years in operation:________________Store Size (sq. ft.)______________________
Primary products sold:__________________________________________________
How many stores do you have, and where are they located?____________
________________________________________________________________________
Do you assemble skates and install accessories?__________________________
How many skates did this store service/repair/ last year?__________________
What % of your display area is for skates?________________________________
What companies do you buy direct from?_______________________________
________________________________________________________________________
What distributors do you buy from?______________________________________
If you are presently carrying Roll One products, through which distributor do you obtain
them?___________________________________________________________
What skateboard brands are you currently carrying in this store?__________
________________________________________________________________________
%of total sales: Skateboards:_____In-line_____Roller-skate_____Clothing_____
List below a breakdown by % of your hard goods and clothing sales.
Clothing: In Store__________ % Mail Order_________% Swap Meet________%
e-commerce_________% Other________%
Hard Goods: In Store________% Mail Order_________% Swap Meet________%
e-commerce________% Other_________%
How many days per week are you open?_______________________________
What are your store hours?______________________________________________
Name of owner/president:______________________________________________
Home Address:_________________________________________________________
City:___________________________State:___________Zip:____________________
Store Manager(s):______________________________________________________
Authorized Buyer(s):____________________________________________________
Name of Parent Company:_________________________Yrs. In Operation:____
Address:_______________________________________________________________
City:_____________________________State:___________Zip:__________________
Bill To:____________________________Address:______________________________
City:_____________________________State:___________Zip:__________________
Name of Store’s Bank:_____________________________Contact:_____________
Address:_______________________________________________________________
City:_____________________________State:___________Zip:__________________
Trade Ref.:________________________Address:_____________________________
City:_____________________________State:___________Zip:__________________
Phone #:_________________________Fax #:________________________________
Trade Ref.:________________________Address:_____________________________
City______________________________State:___________Zip:__________________
Phone #:_________________________Fax #:________________________________
Trade Ref.:________________________Address:_____________________________
City:______________________________State:___________Zip:_________________
Phone #:__________________________Fax #:_______________________________
Firm Name:____________________________________________________________
Federal Tax I.D.#:_______________________________________________________
I hereby certify that I hold a valid seller’s permit #:________________________
Issued to pursuant to the Sales and Use Tax Law, that I am engaged in the business of
selling and that the tangible personal property described herein which I shall purchase
from Skate One Corporation will be resold by me in the form of tangible personal
property; PROVIDED, however, that in the event any of such property is used for any
other purpose other than retention, demonstration, or display while holding it for sale in
the regular course of business, it is understood that I am required by the Sales and Use
Tax Law to report and pay for the tax, measured by the purchase price of such
property.
Description of property to be purchased:________________________________
Dated:___________of 20____
Signature:______________________________
At:________________________
By and title:____________________________
Phone #:__________________
Address:_______________________________
I HEREBY CERTIFY THAT ALL OF THE ABOVE IS TRUE AND ACCURATE.
Signature:_____________________________________Dated:_______20____
(owner/president signature)
Name:________________________________________Title:_________________
(please print)
Please be sure to include photos of: Store Front, Interior, and
D isplays. Faxed dealer applications w ill not be accepted.
Please m ail the application back to :
Roll O ne D istribution, attn: dealer apps.
PO B ox 8420, G oleta, C A , 93118.
Phone #: (805)683.4779 Fax #(805)964 -0511
Roll One Distribution
TERMS AND CONDITIONS
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Each order placed with Roll One by buyer is, if accepted by Roll One, automatically
referenced to this agreement and to the Roll One Retail Dealer Agreement, and both of
these agreements are incorporated by this reference into each purchase
To pay for each purchase in accordance with the applicable price, payment and service
charge schedule in effect at the time of shipment.
Roll One Distribution’s terms of payment are normally cash on delivery. Roll One Dist. will
accept buyer’s company check if buyer’s credit worthiness and payment history are
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substantiated by Roll One Dist.’s credit check on buyer. Initial shipments will be on a cash
prepayment or cash COD basis until such credit check can be made to Roll One Dist.’s
satisfaction. If buyer desires to purchase Roll One products on net terms and can meet
Roll One Dist.’s credit requirements, net terms may be available. The terms of sale on
open or net accounts are as follows: Net 30.
If buyer’s check is not valid at the time of deposit by Roll One, buyer agrees to pay a
minimum of $25.00 handling charge for each non-valid check, plus a service charge of
1.5% per month on the unpaid or delinquent amount until the amount owing is paid in full.
Buyer’s payment terms will automatically become cash COD if a second check
“bounces” or if the first “bounced” check is not promptly paid. Continued non-payment
or late payment (if Buyer is approved for credit) will result in the termination of all
agreements between Roll One Dist. and buyer, and the implementation of such remedies
as are legally available to Roll One Dist.
Roll One Dist. shall have all the rights of a Secured party pursuant to the California Uniform
Commercial Code. Nothing shall prevent Roll One Dist. from removing Roll One Dist.
merchandise from any premises to which it may be attached, upon any breach of this
agreement.
That in the event that it becomes necessary to place the account in the hands of an
attorney or collection agency, the parties liable herein agree to pay the cost of collection
including attorney’s fees and court costs.
Merchandise may be returned to Roll One Dist. only with prior written permission from Roll
One Dist. Unauthorized returns may be rejected by Roll One Dist., and buyer held
responsible. A return charge will be incurred by the buyer unless the merchandise in
question was shipped to buyer in error or the merchandise is found to be defective by Roll
One Dist. Roll One Dist. charges a minimum 15% restocking of merchandise cost plus
shipping charges on returns it authorizes. The buyer is responsible for the returned goods
until they are received in “new” condition by Roll One Dist. If the returned items are not
received in “new” condition, the buyer will pay the full cost of the returned items and all
shipping expenses involved in the transaction as determined solely by Roll One Dist.
Delivery of ordered merchandise may not be refused without prior permission from Roll
One Dist. Buyer will be charged a minimum of 15% restocking charge, all associated
shipping charges, and the payment terms changed to Cash Prepayment.
I have read the above agreement, agree to its terms and conditions, and attest to the
accuracy of all the information in this dealer application.
Name(please print)
Authorized Signature
Title
Date