Verified Dealer Application

NSSRA's Verified Independent Dealer Program recognizes the most qualified independently owned retailers and dealers in the snow sports industry. If you are interested in applying for this program, please complete the application below and a member of the NSSRA staff will respond to you as soon as possible.

Questions? Contact Julie Pitts, NSSRA President, at jpitts@nsga.org or (847) 296-6742, ext. 1180.

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Owner Name:

Business Name:

Street Address:

City, State, Zip:

Business Phone:

Fax:

Business Email:

Website Address:

Criteria the applicant is applying for: MVP ALL STAR

Years the applicant’s business has been in operation:

Combined years of sales experience in the applicant’s business:

Annual revenue of the applicant’s business:

Is the stock in the applicant’s business publicly traded?

Is the applicant’s business at least 51% owned by an individual or family with a controlling interest in the business?

Does the applicant have a brick-and-mortar presence (including a warehouse where customers can see you doing business)?

Does the applicant have a website promoting the business?

Can the applicant’s website be used for e-commerce?

Does the applicant have an active use of social media to promote its business?

Does the applicant have a process for addressing customer and/or vendor complaints?

Is the applicant’s business currently an NSSRA member?

If yes, for how long?

When did someone from the applicant’s business last attend the NSGA Management Conference & Team Dealer Summit? Who attended most recently from your company? If you have not attended the Management Conference, please explain how you have achieved a comparable educational component in the industry.

Please list local media outlet(s) to send a press release with the announcement:

Provide media contact name(s) to send press release to:

Media contact information (email(s) & phone number(s)):

Provide Six References (3 Customer/ 3 Manufacturer)

Provide Six References (3 Customer / 3 Manufacturer)

1. Customer or Consumer Reference Name:

Relationship to Business:

Phone:

Email:

2. Customer or Consumer Reference Name:

Relationship to Business:

Phone:

Email:

3. Customer or Consumer Reference Name:

Relationship to Business:

Phone

Email

4. Manufacturers Name:

Business Name:

Phone:

Email:

5. Manufacturers Name:

Business Name

Phone:

Email:

6. Manufacturers Name:

Business Name:

Phone:

Email:

Please email any additional information you wish to be considered by NSSRA in making its determination as to eligibility to info@nssra.com.

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NSSRA will not be held responsible for any questions answered inaccurately – intentionally or unintentionally. Questions intentionally answered incorrectly could result in disqualification from the program. The applicant has an obligation to inform NSSRA of any changes or operation of its business that would lead to the applicant no longer meeting the criteria on the application form. Failure to inform NSSRA of changes may lead to the withdrawal of the applicant company’s verified independent dealer status.

Name:

Date:

Thank you for applying for NSSRA'as Verified Independent Dealer Program. A member of the NSSRA staff will follow up with you regarding the status of your application. 

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