First Name

Last Name

Phone *

Email *

State or Province *

City *

Postal Code *

Preferred Contact Method *

Phone

Text

Best Time to Contact *

Morning

Afternoon

Evening

Which market or territory are you interested in?

State or Province

City or Region

Radius you are willing to cover

Are you currently located in this territory?

Yes

Planning to relocate

How much time could you commit to developing the business?

Fewer than 10 hours per week

10-20 hours

20-30 hours

30-40 hours

Full-time

Would this be your primary business or an additional income stream?

Primary business

Additional business

Part-time opportunity

Unsure

When would you be ready to begin?

Immediately

Within 30 days

Within 1-3 months

Within 3-6 months

Still exploring

Current occupation or business

Which areas describe your experience?

Sales

Business ownership

Home Improvement

Construction or skilled trades

Project management

Customer Service

Marketing

Real estate

Automotive

Retail

Management

None of the above

How many years of sales experience do you have?

None

Less than one year

1-3 years

4-7 years

8+ years

Have you previously owned or operated a business?

Yes

Briefly describe the business and your role.

Are you comfortable speaking with homeowners and presenting solutions?

Very comfortable

Somewhat comfortable

Not yet, but willing to learn

Not comfortable

Do you have experience generating your own leads or building a referral partnership?

Yes

Some experience

No, but willing to learn

Why are you interested in becoming a Mint Garage dealer?

What are you hoping to achieve through this opportunity?

Choose one or more options

Select all that apply

Which description fits you best?

What do you believe would make you successful as a Mint Garage dealer?

I understand that submitting this application does not guarantee acceptance into the Mint Garage dealer program.

I understand that earnings are not guaranteed and depend on individual effort, sales performance, expenses, market conditions, and other factors.