Name of Builder

Builder Contact Name

Builder Contact Email

Builder Contact Phone #

Builder Address

Distributor Partner

Distributor Account Number

Distributor Contact Email

Anticipated Annual Bulbrite Purchase Volume with Distributor Partner VALUE PARTNER: >$25K and <$50K VALUE PARTNER: Minimum 100 Home Starts Annually DELUXE PARTNER: >$50K and <$100K DELUXE PARTNER: Minimum 250 Home Starts Annually PREMIER PARTNER: >$100K PREMIER PARTNER: Minimum 500 Home Starts Annually

Name of Bulbrite Manufacturer's Representative Facilitating Contract

Anticipated Starting Month of Bulbrite Purchases Via Distributor Partner January February March April May June July August September October November December

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