We thank you for your interest in becoming a dealer for Universal Appliances. Please provide the following information. We value your time to respond to this form. You will be contacted as soon as we complete to process your request.

[contact-form to=”universal01sales@gmail.com” subject=”Dealership Request form Universal Appliances Website”][contact-field label=”Name” type=”name” required=”1″][contact-field label=”Phone Number?” type=”text” required=”1″][contact-field label=”Email Address” type=”email” required=”1″][contact-field label=”Company” type=”text” required=”1″][contact-field label=”Location” type=”text” required=”1″ options=”Karc”][contact-field label=”Main Items Sold” type=”text” required=”1″][contact-field label=”Estimated Annual Sale” type=”textarea” required=”1″][contact-field label=”Products Type” type=”checkbox-multiple” required=”1″ options=”STABILIZER,BATTERY CHARGER,INVERTER,SOLAR INVERTER,PVC WIRE,OPTICAL FIBER WIRE,INSTANT GEYSER,ELECTRIC GEYSER,FAN,LED LIGHTS,SOLAR PANEL”][/contact-form]