CALL BROADFIELD TODAY!
800-634-5178
Local Phone: 516-676-2378
Fax: 516-671-3092 or 676-2702
E-mail: sales@broadfield.com

Broadfield Home Page > New Dealer Application

    
Broadfield Distributing, Inc. has been in the video business for 20 years and has grown with the changes in the industry. We are video editors ourselves and as our own interests have grown, so have our commitment to all of our approved resellers. We look forward to adding your company to our list of approved resellers and simply ask that you complete this brief application to avoid delays in setting up your account. Once you complete your registration you will be contacted with a user name and password that will give instant access to all dealer pricing and manufacturer literature sheets and images from our Online Dealer Kit.Remember, with Broadfield Distributing Inc., every order gets top priority, and, in many cases we often ship the same day!

If you are not reselling the product we will be unable to accept your application at this time.
All fields in RED are required and must be completed before application may be accepted.

How did you find out about Broadfield Distributing, Inc.?
Manufacturer Referral Reseller Referral Catalog/Mailing Fax

Please tell us about your business:
Sole Proprietorship Partnership Corporation; State of Inc.

Date business established:

Legal Business name
(as it appears on business license):
Business Trade Name (DBA)
Business Street Address
City, State, Postal Code & Country
Business Phone #
Business Fax #
Billing Address (if different from above)
Street Address:
City, State, Postal Code, Country
Shipping Address (if different from above)
Street Address:
City, State, Postal Code, Country
(If different then above)

Your e-mail address is required for your user name and password to be sent to you. Plus you'll receive our Email Hot List with all the latest DTV info the day it happens. We'll be sending you new product announcements, hot sales promotions and selling/marketing tips.

E-mail Address:

Officer's/Owner's Name: Title:
Officer's/Owner's Name: Title:
Authorized Purchaser #1: Title:
Authorized Purchaser #2: Title:
Authorized Purchaser #3: Title:
What is your company's web site URL?

Which category best describes your company's business? (Please check only one)

Dealer OEM
Computer Superstore Corporate Reseller Direct Marketer Mass Merchant

VAR/Systems Consultant		 Manufacturer Distributor Educational Retailer Consumer Electronics

Exporter (What countries?) Other

Please indicate your preference in setting up a new account:

PREPAID: Visa Mastercard Wire Transfer

C.O.D.: Cash Certified Check or Money Order Company Check (see terms below)

Who should we contact with pricing, promotions & availability?
Name: Title:
Phone: E-mail:
Who completed this form for your company (if different than the contact above)?
Name: Title:

Have you spoke to anyone at Broadfield Distrbuting, Inc.? Yes No
 If "Yes," who?

All New York State dealers must complete a NYS Resale Certificate.
Click here to download in PDF (13k)

Company check approval requires completion of the following form.
Click here to download in PDF (33k)

TERMS & CONDITIONS:
  1. $50 minimum order.
  2. All orders PREPAID or C.O.D. Cash, Certified Check or Money Order. Company check requires completed dealer application and approval by our Credit Department. Mail application and approval by our Credit Department. Mail applications to Broadfield Distributing, Inc.; Credit Dept,; 67A Glen Cove Ave.; Glen Cove, NY 11542. Fax to (516) 671-3092. Fill out the form above and send it to us.
  3. We will attempt to ship all orders placed before 3:00pm EST the same day. However, we cannot be responsible for out-of-stock and back-ordered items or early shipper pick-up.
  4. Prices subject to change without notice or while supplies last. Not responsible for typographical errors.
 RETURN POLICY:

In the unlikely event that you encounter a problem, we want you to know that we stand behind what we sell. All defective merchandise will be exchanged for replacement or house credit only.

  1. Call Rich at (516) 676-2378 and detail the problem. It is always helpful if you have the product model number and invoice order number and purchase date ready when you call.
  2. We will try to assist you to get the unit to perform satisfactory.
  3. If it is determined that the item is to be returned, we will process all information through our computers and issue you a Return Authorization. No returns will be accepted without this RA number.
  4. All items must be returned in the original packaging and double boxed. All manuals and warranty cards must be unmarked. Please double check to make sure all materials are included (i.e. software, hardware, cables and manuals.) Returns with missing pieces or missing literature may be subject to a restocking charge of 15%. NO C.O.D.s ACCEPTED!
Broadfield Distributing, Inc. - 800-634-5178
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Broadfield Distributing Inc. • 800-634-5178

Rich Bettan - xt. 102 Herb Ricco - xt. 111 Jonathan Ellihou - xt. 112

Fax - 516-671-3092 • Alt. Fax - 516-676-2702 • Email - sales@broadfield.com
67A Glen Cove Ave., Glen Cove, NY 11542-2957