Homeland Surveillance & Electronics LLC UAV
Unmanned Aerial Vehicles (UAV) Drones - Remote Unmanned Aircraft Systems (UAS) Platforms

HSE DEALERS ONLY

   

Dealer Application

Please fill out the form below to apply for our Dealer Program. 

Required *

Name*

Title*

Company Name*

City*

State/Province*
Country*
E-mail*

Tel*

Website:  
In Business Since*  
Legal Form of Business*  Corporation  Partnership Proprietorship
Type of Business* Distributor/Wholesaler Retailer Manufacturer
Company Description: *
Provide a brief description of your company,
how many years in the distribution business,
and the types of products you currently distribute.
Customer Information: *
Provide a listing of markets,
geographical areas and types of
customers you currently sell to.
Market Information: *
How does your company go to market
 (internet, personal selling face-to-face,
phone sales, retail outlet, etc)?
Purchase Projections: *
What are your projected purchase levels
by year for the next 3 years?
(Minimum Initial $50,000 Investment for Dealers)
Target Market:*
Who are your targeted customers?

 

Trade References*
Company Name

 

City

 

State/Province  
Country  
   
   
Company Name

 

City

 

State/Province  
Country  
Bank References:* Checking
Institution

 

City

 

State/Province  
Country  

Savings

Institution

 

City

 

State/Province  
Country  

 

Pilots For Hire

FREE Membership for all dealers

Do you want to Join our UAV Pilots for Hire Network?

Yes No


Do you currently own a UAV? 
If so, Make & Model

 

Do you have a pilot's license? Type

 

Do you have and/or applied for your
FAA Section 333 Exemption?
(U.S. Only)

Yes No

Type of Exemptions granted/applied for

 

Additional comments :

NON-DISCLOSURE AGREEMENT

By submitting this application, you also understand and agree that you are digitally signing and agree to the terms and conditions of the Non-Disclosure Agreement NDA.

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used as consideration for becoming an authorized HSE Dealer. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which any credit is being applied for in order to verify the information contained herein.

 


 

 

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