John Deere License Consideration Form

General Applicant Information

Applicant Name:

Street Address:







Contact Name:







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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