Home

Technical Support

Accessories

Dealer Log In
WHY HEAT SIPHONWHY TITANIUMSHOW ME SAVINGSHOW IT WORKSPick Your ModelHow to InstallHOW TO BUY
Save Every DayFor YEARSWorry FreeSimplyQuietly

Heat Siphon Dealer Kit Request Form

To Request your FREE HEAT SIPHON DEALER KIT and apply to become a Heat Siphon Dealer, just complete the form below and click the SUBMIT BUTTON when done. If you would like a FREE webpage on our site - MAKE SURE YOU READ AND AGREE TO THE TERMS AT THE BOTTOM.

Your Need for SALES/PRICING Information:

Immediate Sales Upcoming Bid Future Reference

Your Experience With Swimming Pool Heat Pumps?

Heard of Them Tried One Sold Installed More Than One Brand

Tell Us a Little About Your Business. Please use average figures where appropriate.

Company Information
(required) Company Name:
License No:
OWNER's Last Name:
 First Name:
Your Title:
 Middle Init:
(required) Address:
City:
 State / Province:
(required) Postal Code:
 Country:
(required) Phone:
 FAX:
E-mail Address:
Store Hours:

POOL DEALERS - If you have a web page we'd be happy to LINK you to our Pool Site Links Page and hope you'll do the same. Just fill in your Website Address URL!
Web Site URL:
Main Business:
SecondaryBusiness:
Your Specialty:

Your Business Strong Point:

Year Established:
  

IF YOU ARE IN A HURRY-STOP HERE

Submit this form Now and JUST CALL US TOLL FREE!! 800-447-9667

ASK ABOUT OUR 25th YEAR ANNIVERSARY SALES PROGRAM - $7000 in retail value FREE!

Sell 15 HEAT SIPHONS - get the 16th one free - sell 24 -GET ONE MORE!!

OR DON'T SUBMIT AND Continue to expedite your dealer credit application.

Business Information

ALL FINANCIAL INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL

Tell Us a Little About Your Business.

Please use average figures where appropriate.

Swimming Pool / Spa Sales

Pool Sales$:

Pools/Yr:

CHECK ALL
THAT APPLY

Residential
Commercial
Above Ground
Inground
Indoor
Concrete
Vinyl Liner
Fiberglass
Spas
Swim Spas
Pool w/Spa
Suanas
Fountains
Waterfalls
Pool Enclosures
Pool Service

Pool Openings/Closings
Pool Leak Detection
Chemical Delivery
Winterizing
Free Water Analysis
Pool Pump Repair
Pool Furniture
Deck & Patio Constr
Pool Toys & Games
Safety Equipment
Pool Slides
Diving Boards
Landscape Lighting
Underwater Lighting
Pool Alarms
Test Kits

Pool Brands Sold

Spa Brands Sold

 

What Other Major Brand Names Do You Sell ?

Pool / Spa Heater Sales

ALL Heater Sales$:

Heaters/Yr:

Heater Brand(s):

Preferred Heater Brand(s)

% Profit

Qty Sold / Yr

Natural Gas

Propane

Oil

Solar

Heat Pump

 

What features & benefits do you stress when selling heaters?

Why do your customers heat their pools?

 

How would you improve pool heaters - What features would you add or change or delete?

Historic Heater Sales: CHECK ANY and ALL types or brands you have sold in the past or now.

Type/ Brands of Heaters:

Natural Gas Heaters

Propane Heaters

Oil Heaters

Solar Heaters

Heat Pumps

Teledyne Laars

Rapak

Hayward

Air Pro

Aqua-Cal

Gulf Stream

Heat Siphon

Jandy

Pentair

Purex

Sta-Rite

Other

WWW.HEATSIPHON.COM/YourPoolCompany

FREE WEB PAGE SECTION

The Following information will be used for your free webpage on our site. This information also tells us more about your preferences and needs, so please complete it EVEN IF YOU DON'T WANT A FREE WEBSITE:

BRAND NAMES you would like to List on Your Free Web Page:

Pool Pumps

Filters

Pool Cleaners

Pool Covers

Chemicals

Other Brands or Specialty Services you would like listed

Company Motto

Terms

I understand that United States ThermoAmp Inc. is the publisher of all information I provide to them, and is offering to publish this information free of charge to me at their sole discretion on one web page and as such they may terminate publication at any time. Additional pages may be provided for a fee at a later date but this single html web page will remain free to all valid Heat Siphon Dealers. Heat Siphon is a trade mark of United States ThermoAmp Inc. All other logo's or trademarks published herein are the property of their respective owners. All rights reserved. copyright 1998-2007 United States ThermoAmp Inc.

I agree to hold United States ThermoAmp Inc. harmless from any liability for any errors, omissions or inaccuracies in the information I have provided above and any and all losses or damages that may result.

NOTICE BY FILLING IN YOUR NAME YOU AGREE TO THESE TERMS

I hereby certify that the above is true and correct information and that I have read, understood and agree to the terms above.

NAME OF PERSON APPLYING FOR FREE WEB SITE:

Tee Shirt Size

THANK YOU for Applying to become a HEAT SIPHON DEALER - We will be contacting you shortly by phone.