Dealer Application

Congratulations on your decision to join one of the fastest growing industries and represent one of the premier companies in clean power systems. Continental Power provides state of the art power factor correction, surge/spike protection and harmonics filtration with one of the industries best warranties.

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Start-Up Options

Option #1 - $149
- Ability to represent Continental Power and order marketing materials and product
- One year access to the dealer login area with special marketing materials and product training for distributors
- Custom PowerwoRx website with your company information on each page
- Unlimited phone and e-mail support from Continental Power engineers and support staff

Option #2 - $699 an $836 value! A savings of $137
- Ability to represent Continental Power and order marketing materials and product
- Unlimited access to the dealer login area with special marketing materials and product training for distributors
- Unlimited phone and e-mail support from Continental Power engineers and support staff
- Two PowerwoRx e3 residential units - NEMA 1 Surface Mount (additional $25 each for NEMA 3 or Flush Mount)
- 100 PowerwoRx e3 residential Tri-Fold Brochures
- PowerwoRx infomercial DVD with custom print on DVD and sleeve with your company information
- Custom PowerwoRx website with your company information on each page
- Referrals from Continental Power web and phone inquiries

Option #3 - $1799 a $2178 value! A savings of $379
- Ability to represent Continental Power and order marketing materials and product
- Unlimited access to the dealer login area with special marketing materials and product training for distributors
- Unlimited priority phone and e-mail support from Continental Power engineers and support staff
- Four PowerwoRx e3 residential units - NEMA 1 Surface Mount (additional $25 each for NEMA 3 or Flush Mount)
- PowerwoRx Demo kit showing e3's ability to reduce current and thereby save money on the electric bill
- e-Cometer Noise Meter showing the ability for the e3 to reduce noise in the home thereby improve the operation of electrical equipment & electronics and extend the life of electronics
- 200 PowerwoRx e3 residential Tri-Fold Brochures
- Five PowerwoRx infomercial DVD with custom print on DVD and sleeve with your company information
- Custom PowerwoRx website with your company information on each page
- Continental Power Authorized Distributor Business card design - camera ready artwork
- Preferred status for referrals from Continental Power web and phone inquiries

* Shipping not included

Select Option *

Payment Details

Card Type:

Card Number:
*

Expiration Date:
*

*

CVV:

What is the CVV?
CVV stands for Card Verification Value. This number is used as a security feature to protect you from credit card fraud. Finding the number on your card is a very simple process. Just follow the directions below.

*

Visa, Mastercard:
The CVV for these cards is found on the back side of the card. It is only the last three digits on the far right of the signature panel box.

American Express:

The CVV on American Express cards is found on the front of the card. It is a four digit number printed in smaller text on the right side above the credit card number.

Company Information

Company Name (Legal) The legal company name you use for accounting purposes.

Company Name (Doing Business As) The working name of your company (as the public refers to you).

Company Federal ID Number

Company State Tax Number

Principle Contact Information

First Name *

Middle Initial

Last Name *

Social Security Number

Email *

Phone (Primary) *

Phone (Secondary)

Phone (Cell)

Fax

States You are a Licensed Electrician In

Mailing/Shipping Locations

Mailing Location

Mailing Address Line 1 *

Mailing Address Line 2

Mailing City *

Mailing State *

Mailing Zip Code *

Shipping Location

Shipping Location is the same as Mailing Location

Shipping Address Line 1

Shipping Address Line 2

Shipping City

Shipping State

Shipping Zip Code

Additional Contact 1

Contact 1 Name

Contact 1 Email

Additional Contact 2

Contact 2 Name

Contact 2 Email

Please read the following terms & conditions and acknowledge that you have read and agree to them. Distributor Agreement Terms & Conditions

Verification of Agreement to Terms & Conditions: *

I HAVE READ AND AGREE TO THE DISTRIBUTOR AGREEMENT TERMS & CONDITIONS

PowerSense Inc.

Just Makes Sense

Dealer Application

Card Type:
Card Number:	*
Expiration Date:	* *
CVV: What is the CVV? CVV stands for Card Verification Value. This number is used as a security feature to protect you from credit card fraud. Finding the number on your card is a very simple process. Just follow the directions below.	* Visa, Mastercard: The CVV for these cards is found on the back side of the card. It is only the last three digits on the far right of the signature panel box. American Express: The CVV on American Express cards is found on the front of the card. It is a four digit number printed in smaller text on the right side above the credit card number.