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Galaxy Broadband Dealer Application

Speed – Reliability – Affordability

Please check the applicable category for which you are applying.

Please note: Dealers and/or Installers cannot be Sales Agents and Sales Agents cannot be Dealers and/or Installers.

 

 I want to be a Galaxy Authorized Dealer Galaxy Broadband-approved Dealers sell our full line of products and services. They may or may not have a certified Installer on staff but are required to have one linked to their account. To become authorized, a Dealer applicant must participate in and successfully complete Galaxy Broadband sales and technical training. A Galaxy Broadband Dealer must be registered businessess with a GST and PST numbers; they are most often storefront retailers of consumer electronics, satellite television dealers, computer shop owners, etc.

 

 I want to be a Galaxy Certified Installer. Galaxy Broadband-certified Installers are certified to install and service our full line of products. To achieve certification, Installer applicants must attend a Galaxy-sanctioned Installer training seminar, as well as complete online training.

 

 I want to be a Galaxy Authorized Sales Agent. A Galaxy Broadband-appointed Sales Agent is approved to sell Galaxy Broadband HUGHESNET® systems and service plans to prospective customers. Sales Agents receive a referral fee for each new customer activation they generate. Sales Agents do not stock hardware and are not responsible for warranty, installation or ongoing customer service.

Company Information:

Company name:

Owner name:

Contact name:

Contact email address:

Street address:

City:

Prov:

Postal Code:

Phone:

Fax:

Technical Knowledge:

How would you rate your capabilities? (On a scale 1-10, 10 being expert. Add comments).

Computer Knowledge (hardware):

Computer Knowledge (software):

Networking Hardware & Software:

Wireless/WISP:

Satellite Installation:

VoIP:

Which authorized Galaxy Broadband dealer are you associated with or will be doing installations on behalf of?

Comments:

Industry Experience:  (To be completed by Dealer and Installer applicants only.)

Do you currently sell HUGHESNET?

Yes:

No:

How many systems have you installed:

Do you have a Certified Installer?

Yes:

No:

If Yes, how many:

Are you currently a certified HUGHESNET Installer?

Yes:

No:

If Yes, your HUGHESNET Installer number:

Have you ever installed VSAT?

Yes:

No:

If Yes, your VSAT installer number:

Who did you certify with?:

Why would you like to become a Galaxy Dealer and/or Installer?:

Business Information:  (To be completed by Dealer and Sales Agent applicants only.)

Type of Business:

Electronics

Retailer

Computer Store

Satellite

ISP

Other

How long have you been in business?:

Number of Employees:

Number of locations:
Do you have high speed wireless in your area?:

Yes:

No:

If Yes, who?:

 .

Do you have a storefront?:

Yes:

No:

Describe your target market for HUGHESNET:

Additional information:

Please provide any additional information you feel is pertinent:

I certify that the above information is correct and I accept the Terms and Conditions of the Galaxy Broadband Dealer Program as outlined.

Yes:

No:

Authorized Representative:
Date: