HSE-UAV Dealer Application

  • HSE Dealer Application



    Please fill out the form below to apply for our Dealer Program.

    • *
      First Name
    • *
      Last Name
    • *
      Company Name
    • *
      Title
    • *
      Address
    • *
      City
    • Zip Code
    • *
      Country
    • *
      State
    • *
      Phone
    • *
      Email Address
  • *Please select your industry
  • Website
  • *In Business Since:
  • *Legal Form of Business
  • *Type of Business
  • Company Description:

    Provide a brief description of your company, how many years in the distribution business, and the types of products you currently distribute.
  • *Company Description:
  • Customer Information:

    Provide a listing of markets, geographical areas and types of  customers you currently sell to.
  • *Customer Information:
  • Market Information:

    How does your company go to market (internet, personal selling face-to-face, phone sales, retail outlet, etc)?
  • *Market Information:
  • Purchase Projections:

    What are your projected purchase levels by year for the next 3 years?
  • *Purchase Projections:
  • Target Market:

    Who are your targeted customers & industries for UAV applications?
  • *Target Market:
  • Please Provide the Following Info


    Trade References:

    • *
      Contact Name
    • *
      Company Name
    • *
      City
    • *
      Country
    • *
      State
    • *
      Phone
    • *
      Email Address
    • *
      Contact Name
    • *
      Company Name
    • *
      City
    • *
      Country
    • *
      State
    • *
      Phone
    • *
      Email Address
  • Bank References:

    • *
      Institution
    • *
      City
    • *
      Country
    • *
      State
    • Institution
    • City
    • Country
    • State
  • *Do you want to Join our UAV Pilots for Hire Network?
  • *Do you currently own any UAV?
  • *If so, list Make & Model(s)
  • *Do you have a pilot's license?
  • *If so, list Type(s)
  • *Do you hold &/or have you applied for any FAA Section 333 Exemption(s), Part 107 waivers, airspace authorizations, etc.? (U.S. Only)
  • *FAA Approvals Granted / Applied For
  • Additional comments or questions:
  • NON-DISCLOSURE AGREEMENT

    By submitting this application, you also understand and agree that you are digitally signing and agree to the terms and conditions of the Non-Disclosure Agreement NDA.


  • *

    I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used as consideration for becoming an authorized HSE Dealer. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which any credit is being applied for in order to verify the information contained herein.
    SIGNATURE  Please use your mouse to sign below.

  • Have a question or need more info?

    Please contact your Sales Adviser or call 309-361-7656

  • Privacy Policy -

    HSE will not share or sell your information. It is for internal use only between HSE, our Dealers, and You.

  • ZS_Email_Address

That's all, folks!

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