John Deere License Consideration Form


General Applicant Information

Applicant Name:

Street Address:

City:

 

 

State:

 

 

Contact Name:

 

 

Title:  

 

Email:

 

Company website:

 

Years in business:

 

Current number of employees:

Financial Information

Amount of Product Liability Insurance Coverage:

 

Product Information

Proposed Product Description:

 

Sales and Distribution Information

Do you currently distribute products to Canada?

 

Which retailers do you currently sell product to?

 

Other Information

Other information for consideration:

By checking this box, applicant acknowledges they have read and understand the John Deere licensing requirements. *Required

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