Form

Please fill out the application below.

First Name*

Last Name*

Email*

Phone Number*

What's the name of your business?*

What type of business do you operate?*

What other products / services do you sell?*

How many employees do you have?*

In what city/cities and state(s) do you primarily do business? *

Approximately how many businesses do you currently service? *

How do you plan to market and sell Atmosphere?*

How many businesses do you believe you could sell Atmosphere to per month?*

1-4

5-10

11-20

20+

Which category do your primary business clients fall under? *

Small Businesses (individual owners, 1-19 stores)

Medium-Sized Businesses (individual/group owners, 20-49 stores)

Enterprise Businesses (typically corporate or franchise owned, 50+ stores)