Home
Dealer App
Service & Repair
Shipping & Returns
Login
Shop By Category
Camera Accessories
Clothing
Dive Skins
DPV / Scooters
Masks / Snorkels
Safety Gear
Shop By Brand
Dive Alert
Indigo Industries
Ocean Quest
Shop Cart
Search
Search
MENU
Home
Service & Repair
Dealer App
My Account
Shop Cart
Contact Us
Shop By Category
Camera Accessories
Clothing
Dive Skins
DPV / Scooters
Masks / Snorkels
Safety Gear
Shop By Brand
Dive Alert
Indigo Industries
Ocean Quest
Home
Dealer Application
eScuba Dealer Application
Please choose the manufacturer brands you wish to distribute:
Company Name:
(This must be the full legal title of the company.)
ABN Number:
Billing Address:
Address:
City:
State:
Post Code
Day Phone:
Evening Phone:
Fax No.:
Shipping Address:
Address:
City:
State:
Post Code:
Day Phone:
Email Address:
(Will be used as your Login username)
Select Password:
Confirm Password:
Website:
Business is:
Propriertorship
Partnership
Corporation
List of directors or proprietor
Name:
Title:
Name:
Title:
Name:
Title:
Established Business since (year):
Business at this location since (year):
Store Property is:
Rented/Leased
Owned
Number of store locations:
My showroom normally stocks the following types of products:
Check all that apply
Dive equipment and related accessories
Marine equipment and related accessories
Outdoor equipment and related accessories
Photography equipment and related accessories
Consumer Electronics equipment and related accessories
Other - Describe
My business is an authorized dealer for these major brands:
My business is an authorized dealer for these major camera brands:
My business has authorized Sherwood / Dive Alert / Spare Air Repair Technicians:
Repair Tech Name:
Certified End Date:
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Repair Tech Name:
Certified End Date:
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Repair Tech Name:
Certified End Date:
MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Number of employees:
My business sells products:
Check all that apply
In my store showroom
On my company website
My business accepts the following methods of payment
Check all that apply
Cash
Visa/Mastercard
American Express
Check
PayPal [or similar]
Preferred shipping method
(from eScuba to your business)
:
Ground
3-Day
2-Day
Preferred payment method
(for invoices)
:
COD
Visa/Mastercard
Preferred method of contact:
Email
Phone
Dealer Policy:
I confirm I have read and agree with the dealer policy and the above dealer application information is true and correct
By typing you name below you confirm you have read and agree with the dealer policy and the above information is true and correct: