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Sentry Dealer Application Form Please fill in all necessary information and click the "submit" button at the bottom of the form. The form will be sent to the appropriate department and an Account Executive will be in touch with you shortly. For further information, please call 1-866-736-8796. General Information Attention: Company Legal Trade Name: Business Name: Address: Address 2: City: State/Province: Zip/Postal Code: Email: Telephone: Fax: Business Information Business Type: Proprietorship Partnership Incorporated Other No. of years in business: No. of branches: No. of employees: Tax Number(Federal Tax ID, Social Security #, GST Number): Name of Principals: 1. Title: 2. Title: 3. Title: *Before submitting this application, you must read and understand the Terms & Conditions.