DEALER APPLICATION FORM

Instructions: Fill in all spaces and complete by signing where indicated. Please print or type.

Store’s Trade Name (DBA):

Legal Company Name(If different):

Company Type

Proprietorship

Partnership

Corporation

Company Phone:

Company Fax:

Company Email:

Company Website:

Company Address:

Shipping Address:

Primary Contact

Job Title:

Phone

Legal Owner's Name:

Phone

Company name

Website

State Tax ID No.:

Dealer License No.:

Year and Date in Business:

Month

Day

Year

Office Hours:

Physical Size of Your Showroom(ft²):

Physical Size of Your Storefront (ft²):

Other Lines You Carry:

Additional Dealer Location List:

Businesses may apply for multiple storefront locations. BV Powersports reserves the right to accept or reject locations applied for and to limit product categories for each store.

Business Address:

Contact Address:

Address:

Phone:

Fax:

File upload

Add up to 10 files.

Signature

Signature field is empty.

Thank you for submitting your Dealer Application!

All information provided in this form and to BV Powersports, LLC will be kept confidential and will remain the exclusive property of BV Powersports, LLC.

To help us expedite your application process, please include the following documents with your submission: