David Clark: Headset Communication Systems for High-Noise Environments

Authorized Reseller Request

To become an authorized reseller of David Clark products, please complete this form, hit the send button at the bottom of the page and a regional manager will contact you shortly. (All fields must be completed for consideration)

First Name

Last Name

Title

Company

Address 1

Address 2

City

State / Province / Region

Postal Zip Code

Country

Phone

Fax

Website

Owner / President

Area of Interest Aviation
Airline/Airport Ground Support
Aerospace
Headsets and Adaptors
Hearing Protectors
Railroad
Medical (MAST and/or Infusors
Portable Intercom Systems
Vehicle Intercom Systems
Voice Powered Communication
Special Projects
Military/Defense
Industrial Facilities
Fire/Rescue
Marine
Two-Way
Pro-Audio
Other

Describe the general nature of your business

What are your focus markets (include % of sales)?

Who are your major customers?

Which customers may we contact?

Years in business?

Number of employees

Number of branch locations

What geographic area do you cover

Are you able to conduct business in English?

What other languages do you conduct business in?

What are your expected annual sales of David Clark products?

Do you currently sell David Clark Products?

If yes, where/how do you currently purchase?

What competitive products do you currently sell?

If Aviation, what is the nearest airport?

If Aviation, do you currently sell pilot supplies over the counter?

If Aviation, what type of business?

Additional Comments