OEM Project Inquiry Form Dealer InformationCompany Name(Required) Existing Stoll Dealer?(Required) No Yes Point of Contact Name(Required) First Last Contact Email(Required) Contact Phone(Required)Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Same Address for Shipping?(Required) Yes No Shipping Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Does the shipping location have a loading dock?(Required) Yes No Shipping Requests Project DetailsIf you have supporting documents or files related to the overall scope of your project, please upload them here.Supporting documents for each individual product should be uploaded in each product section.Max. file size: 50 MB.Project Scope: Please provide a detailed description of your project(Required)Product Material Type Product Finish Type(Required)Stoll Standard FinishStoll Premium Finish3rd Party / CustomEstimated Product Quantity(Required) Estimated Yearly Sales Project Timeline Quote Deadline Project Budget Range Prototype Needed? No Yes Prototype Quantity Prototype Deadline Submit FormWould you like to receive a copy of this submitted form? No Yes Enter the email you want to receive a copy of this form Date
