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Ergodyne Sign Up Information

Last Updated:
11/19/2019
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Email Address

 Email

Date of Birth

 

Password

 Password

Your Name

 First Name, Last Name

Your Address

 Home Address, City, State, Region, Country, Postcode, Zipcode

Phone Number

 Phone

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Ergodyne.

Dear Jackson Clark,

We've received your request for a distributor account with www.ergodyne.com to gain access to order tracking, distributor pricing, product resources and assets, and much more.

We know you're eager to jump in but we're currently reviewing your request and should reply within 24 hours. If approved, we will send a confirmation email to this inbox. If you do not hear from us, please email orders@ergodyne.com or call +1 (651) 642-9889 or (800) 225-8238.

CONTACT INFORMATION

Personal Details
First Name Last Name Job Title Date of Birth
Jackson Clark Mr, Mrs /
Company Info
Name Phone Ergodyne Distributor?
Jon 07943339457 No
Street 1 Street 2 City State Zip/ Postal Country
154 Langham Road 215 Langham Road London Jon 90275
Billing Info
Company Phone
201 Langham Road 07912111565
Street 1 Street 2 City State Zip/ Postal Country
141 Langham Road,172 Langham Road 141 Langham Road,172 Langham Road London London N15 3NB

ABOUT YOUR COMPANY

General Info
Customer Toll Free Number Fax Number Website
Jon Jon Jon
Publish a Catalog?
Frequency Months Released How did you hear about us?
Jon Jan,Feb,Mar,Apr,May,Jun,Jul,Aug,Sep,Oct,Nov,Dec Jon
Association Memberships
AD AFFLINK DPA EVERGREEN
Yes Yes Yes
INCOM INDICA NATE NETPLUS
Yes Yes Yes Yes
SMG SPHERE1 STAFDA None
Yes Yes Yes Yes
Type of Business
Partnership Proprietorship Corporation Product(s) Interest Year Founded
Jon Jon
Primary Market You Sell To
Contractor Health Care Industrial Janitorial
Office Public Safety Utilities Other
(Jon)
Type of Sales
Retail Location Website/Online Estimated First Year Sales
Yes Yes Jon

ACCOUNT SETUP DETAILS

Account Details
Order Acknowledgement Required No @
Monthly Statement Via Email No @
Invoices Via Email No @
EDI System? No @
Contacts Details
Contacts Name Title Phone Email
Purchase Orders Jon Mr, Mrs Jon @
Invoice Payments Jon Mr, Mrs Jon @
Sales Jon Mr, Mrs Jon @
Marketing & Catalog Jon Mr, Mrs Jon @
EDI System Jon Mr, Mrs Jon @
Sales Tax
Duns Number Tax Exempt ID No. Do You Have a Resale Certificate Why or why not?
Jon Jon No Jon

REFERENCES

Principal Bank Relationship
Bank Name Account Number Phone Fax Officer Name
Jon Jon Jon Jon Jon
Street Address 1 Street Address 2 City State/ Province Zip/ Postal Country
215 Langham Road 125 Langham Road London Jon 90275
President/Partner/Owner (NA for Corporations)
Name Email Phone
Jon @ Jon
Street 1 Street 2 City State/ Province Zip/ Postal Country
181 Langham Road 130 Langham Road London Jon 90275

Credit References

Reference 1
Reference Name Email Phone
Charlotte @ 07966325290
Street 1 Street 2 City State/ Province Zip/ Postal Country
154 Langham Road 239 Langham Road London Jon 90275
Reference 2
Reference Name Email Phone
Michael @ 07987098296
Street 1 Street 2 City State/ Province Zip/ Postal Country
150 Langham Road 196 Langham Road London Jon 90275
Reference 3
Reference Name Email Phone
Joshua @ 07982535490
Street 1 Street 2 City State/ Province Zip/ Postal Country
164 Langham Road 204 Langham Road London Jon 90275

Attachments

Resale Certificate Business Reference Credit Reference
Download Download Download
Copyright © Ergodyne. All Rights Reserved. All Wrongs Reversed
Raw DataRegistration StructureRegistration Form Text
Registration
Account Type
First name
Last name
Title
Password
Email
Phone
Home address
City
State
Region
Country
Postcode
Zipcode
Please keep me informed of special offers and promotions
Show Password
Month
Month
Month
*Country
Month
*State/Province
Month
Yes
NOTE:International distributors cannot place orders online at this time, but can still view order history, access resources and assets, and a whole lot more! Are you already set up as an authorized Ergodyne distributor? If you're not sure or have any questions, email us at orders@ergodyne.com or call us at 800-225-8238
No
Yes
SAME AS CONTACT ADDRESS
No Next Billing Address
*Country
Month
*State/Province
Month
Yes
Do you publish a catalog?
No
Yes
Jan
Month(S) Released
Feb
Jan
Mar
Feb
Apr
Mar
May
Apr
Jun
May
Jul
Jun
Aug
Jul
Sep
Aug
Oct
Sep
Nov
Oct
Dec
Nov
AD
Dec *Are you a member of these marketing groups?
DPA
AD
EVERGREEN
DPA
INCOM
EVERGREEN
INDICA
INCOM
SMG
INDICA
SPHERE1
SMG
STAFDA
SPHERE1
NETPLUS ALLIANCE
STAFDA
NATIONAL TOWERS OF ERECTORS (NATE)
NETPLUS ALLIANCE
NONE
NATIONAL TOWERS OF ERECTORS (NATE)
PROPRIETORSHIP
NONE Type of business
PARTNERSHIP
PROPRIETORSHIP
CORPORATION
PARTNERSHIP
Retail Location
Type of sales
Website / Online
Retail Location
Contractor
*What is the primary market you sell to?
Health Care
Contractor
Industrial
Health Care
Janitorial
Industrial
Office
Janitorial
Public Safety
Office
Utilities
Public Safety
Other
Utilities
Yes
NOTE:Opening order and annual minimums are required. Next Back Order acknowledgement required?
No
Yes 
Yes
Monthly statement via email?
No
Yes 
Yes
Invoices via email?
No
Yes 
Yes
EDI System?
No
Yes 
Yes
Do you have a resale certificate?
No
Yes 
If Yes, Please upload the certificate.
Upload your business references or fill out the form below:
Country*
Month
Month
Country
Month
Month
Upload your credit references or fill out the form below:
Country
Month
Month
Country
Month
Month
Country
Month
Month
Data Name Data Type Options
Account Type   Text Box
First name   Text Box
Last name   Text Box
Title   Text Box
Password   Text Box
Email   Text Box
Phone   Text Box
Home address   Text Box
City   Text Box
State   Text Box
Region   Text Box
Country   Text Box
Postcode   Text Box
Zipcode   Text Box
Please keep me informed of special offers and promotions   checklist Show Password
  dropdown Month
  dropdown Month
  dropdown Month
*Country   dropdown Month
*State/Province   dropdown Month
Yes   option NOTE:International distributors cannot place orders online at this time, but can still view order history, access resources and assets, and a whole lot more! Are you already set up as an authorized Ergodyne distributor? If you're not sure or have any questions, email us at orders@ergodyne.com or call us at 800-225-8238
No   option Yes
SAME AS CONTACT ADDRESS   checklist No Next Billing Address
*Country   dropdown Month
*State/Province   dropdown Month
Yes   option Do you publish a catalog?
No   option Yes
Jan   checklist Month(S) Released
Feb   checklist Jan
Mar   checklist Feb
Apr   checklist Mar
May   checklist Apr
Jun   checklist May
Jul   checklist Jun
Aug   checklist Jul
Sep   checklist Aug
Oct   checklist Sep
Nov   checklist Oct
Dec   checklist Nov
AD   checklist Dec *Are you a member of these marketing groups?
DPA   checklist AD
EVERGREEN   checklist DPA
INCOM   checklist EVERGREEN
INDICA   checklist INCOM
SMG   checklist INDICA
SPHERE1   checklist SMG
STAFDA   checklist SPHERE1
NETPLUS ALLIANCE   checklist STAFDA
NATIONAL TOWERS OF ERECTORS (NATE)   checklist NETPLUS ALLIANCE
NONE   checklist NATIONAL TOWERS OF ERECTORS (NATE)
PROPRIETORSHIP   option NONE Type of business
PARTNERSHIP   option PROPRIETORSHIP
CORPORATION   option PARTNERSHIP
Retail Location   checklist Type of sales
Website / Online   checklist Retail Location
Contractor   option *What is the primary market you sell to?
Health Care   option Contractor
Industrial   option Health Care
Janitorial   option Industrial
Office   option Janitorial
Public Safety   option Office
Utilities   option Public Safety
Other   option Utilities
Yes   option NOTE:Opening order and annual minimums are required. Next Back Order acknowledgement required?
No   option Yes 
Yes   option Monthly statement via email?
No   option Yes 
Yes   option Invoices via email?
No   option Yes 
Yes   option EDI System?
No   option Yes 
Yes   option Do you have a resale certificate?
No   option Yes 
If Yes, Please upload the certificate.   file
Upload your business references or fill out the form below:   file
Country*   dropdown Month
  dropdown Month
Country   dropdown Month
  dropdown Month
Upload your credit references or fill out the form below:   file
Country   dropdown Month
  dropdown Month
Country   dropdown Month
  dropdown Month
Country   dropdown Month
  dropdown Month

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