Builder - Dealer Application Form

National Solarcrete, Inc is now accepting applications for Builder - Dealer opportunities

Approved Builder - Dealers will be trained and certified to install Solarcrete products and systems by National Solarcrete or its agents.


First Name
Last Name
Name of Company
Form of Company ( ie sole proprietor,LLC,
S Corp, C Corp, etc)
Zip Code
Phone Number
Fax Number
E-mail address
What does your company do?
What building trade(s) is(are) your company
most associated with?
Gross Annual Sales
Would you be willing to provide financial
statements and credit information?

Do you object to payment/transfer of
royalty fees?

When would you like to start?
Please state how you visualize the way the Solarcrete technology would be integrated with your existing business or operated as a separate business.