Become a Dealer

Staying Home Corporation is dedicated to providing innovative products and services that enables the
aging in place to safely and economically stay in their home. Our commitment to integrity and quality is
second to none!

As an authorized Staying Home Corp dealer, you must:

  • Maintain the proper licensing required in the markets in which you operate.
  • Provide prompt, professional service to customers.
  • Pay for orders within the terms established by Staying Home Corp.

Staying Home Corporation Dealers are required to:

Please fill out our Dealer Credit Application.

 

IMPORTANT NOTES:
This application is only in consideration of a potential dealership and does not constitute a contract or
mean that you are an authorized dealer for Staying Home Corp.

Company Name*
Title*
First Name*
Last Name*
Address*
Address 2
City*
State*
Zip Code*
Phone Number*
Toll Free Number
Fax Number*
Web site URL
Email address*
D&B Number
Federal Tax Number or SSN*
Date Business Established*

How did you hear about Staying Home Corp?*

Why do you want to represent Staying Home Corp?*

Description of your company:*

What do you expect your annual volume to be with Staying Home Corp?*
How many stairlifts per year?*

How many shelters per year?*