Dealer Application

Please complete the application below to start the process for becoming a Staggemeyer premium wood pellet dealer. A member of our team will reach out to you and complete the application process. Thank you very much for your interest in handling our product(s)!

Company/Store Name

Fedral Tax ID

Store Type

Hardware Grocery Specialty BBQ Sporting Goods-Outdoor Furniture/Appliance Other

Address 1

Address 2

City

State

Zip

Contact First Name

Contact Last Name

Email

Contact Phone

Website

Qualification Questionnaire

Do you also sell online?

Yes No

Do you give or host product demos?

Yes No

What type of wood pellets do you retail?

BBQ/Smoking (cooking) Pellets Fuel Pellets Both Cooking & Fuel Pellets

How do you promote your wood pellet products?

Print TV and Radio Billboards Digital Display Ads Paid Search Engine Ads In-Store Events Other

Are you affiliated with any co-ops or buying groups?

Yes No

Do you have multiple locations?

Yes No

Authorization

By checking this box I agree to the following:

I agree that the above information is correct and subject to verification for dealer application approval/denial by Staggemeyer Stave Company, Inc.

(507) 724-3395

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