Please complete this form to the best of your abilities. Required fields denoted by * Once you have completed all the required fields, remember to hit the SUBMIT button at the bottom of the page.

Dealer Inquiry
Date
Shop Name:
Shop Address: Street/PO Box/Unit etc.
City
State
Zip Code
Fax:
Cell Phone
Owner Name
Owner Email
Buyer Name
Buyer Email
Manager Name
Manager Email
Key Employee 1 Name
Key Employee 1 Job Title
Key Employee 1 Email
Key Employee 2 Name
Key Employee 2 Job Title
Key Employee 2 Email
Year Established
Hours of Operation
Estimated Gross Sales $
Gross Sales for Fly Fishing $
Gross Sales for General Tackle $
Gross Sales Other $
Ecommerce Sales $
Website URL
Closest Physical Competitor
Please List Any Other Competitors in Your Area
Please List any Guides/Pro’s Associated With Your Shop
Current Fly Fishing Product Lines (If none please list top 5 Brands)
Other Info