Electrical Connection Dealer Application

Requirements:
We accept only bona-fide dealers in the Powersports Industry. Each application is researched to insure this. You must be involved in the Powersports Industry as:
     1. OEM Dealer (sells new and used motorcycles).
     2. Motorcycle Service Shop.
     3. Accessory Dealer.

OEM Dealers.
Print out this page and also provide 1 copy of a recent parts invoice. The invoice can be from Yamaha, Honda, Kawasaki, Suzuki, Harley Davidson, Buell, Polaris, etc.

Service Shops/Accessory Dealers.
Please print out this page and provide 3 industry references. You may use invoices as proof of an established relationship with other vendors.

Payment terms.
COD or prepaid with credit card. A credit card can be securely kept on file. We do not have open terms or drop shipping available.

Return this form either by mail or fax;
Mailing address: 3300A Rifle Range Dr, Knoxville, Tn 37918
Fax Number; 865-219-9292

Name
Title
Business Name
Shipping Address
Billing Address
City
State/Province
Zip/Postal code
Country
Phone
FAX
Dealer Website URL
Parts Dept. E-mail
Method of Payment?	(circle one) COD / CREDIT CARD
Credit Card Info	(circle one) VISA / MASTERCARD / AMEX / DISCOVER (card number) __________-__________-__________-__________ (expiration date)__________/__________ (CID security code)________________ (name as it appears on card) ______________________________________________
PO's Required?	(circle one) YES / NO