Your Contact Info

* required

*Name:

Business Name, if applicable:

Address:

*City:

State /
Province:

*ZIP or
Postal Code:

Country:

Phone Number:

Fax Number:

*Email:

Your Business Info

Business Web Site:

When was your business established?

What is the primary focus of your business?

What are the primary brands you represent?

Do you import any of your brands? If yes, from where?

Do you have any experience selling play equipment? If yes, please describe:

Do you have a retail store front? If yes, please describe:

Approximate size of indoor space:

Approximate size of outdoor space:

How did you hear about Rainbow?

Before submitting this inquiry form, you must read the following statement below and agree to the following:

1. I submitted this Inquiry Form for review by Rainbow Play Systems, Inc., its officers, employees and agents.

2. The information that I am submitting to Rainbow is accurate

3. I understand and agree that this Inquiry Form does not bind or obligate Rainbow in any way to offer me a distributor application or ultimately a Distributor Agreement. Any investments, expenditures, agreements and other acts or omissions made by me in anticipation of such a Distributor Agreement or in reliance upon this Inquiry Form are made at my sole risk and responsibility and do not obligate Rainbow or any of its employees or agents to me in any way.

4. The execution of a written Distributor Agreement between Rainbow and me is the only manner by which I may be appointed a distributor (and specifically not an agent or franchisee) of Rainbow® brand products in any geographic location. I acknowledge that no representations or statements have been made to me by Rainbow, or on Rainbow’s behalf, that would in any way tend to change or modify any terms of any distributor application or Distributor Agreement that may be offered to me or executed, if any. I am not relying upon any such representations or statements from any Rainbow representative in submitting this Inquiry Form.