Dealer / Distributor Application

Customer Instructions

Complete the appropriate pages and fax back to above number. Include a photocopy of your Resale Card and/or Tax ID card. All applicants need to fill out completely and sign this page, Resale Card. Incomplete applications will be rejected. False and/or misleading information will subject applicant to complete account disqualification and forfeiture of any and all rights otherwise at- tendant thereto.

Business Info

Business Type * Sole Proprietorship
Partnership
Corporation

If Corporation

Corporation in the State of

Articles of Incorporation Number

Years in Business *

Number of Employess *

D & B Number *

DBA *

Name *

Address *

City * State * Zip *

Phone *

Fax *

Email *

Annual Business Sales (in $USD) *

Do you currently own a Road Armor product? * Yes
No

Where did you first see one of our products? *

What is the source of funds you plan to invest into a dealership? *

Tell us your vision of how you would sell Road Armor through your business *

What made you think about becoming a Road Armor Dealer? *

Please the other companies that you are currently a dealer for *

References

Provide 3 personal references with phone numbers

Reference #1 Name * Phone Number *

Reference #2 Name * Phone Number *

Reference #3 Name * Phone Number *

Making sure you're human, what does 2+3=?*

Common Questions

Dealer / Distributor Application

Customer Instructions

Business Info

References

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