Puget Sound Motorsports Dealer Application

Puget Sound Motorspors Dealer Program

Fill out Dealer application & we will reply as soon as we're available

First name *

Last name *

Company

Full address *

Apartment, suite, etc. (optional)

City *

Country/Region *

Province/State/Region *

Postal code *

Please upgrade to BASE+ plan to unlock this widget for free trial in the app.

Business Name *

Please input your Legal company name

DBA:

Doing Business as (If applicable)

Business Email: *

Contact email

Business Number: *

Business type: *

Business Website: *

Annual Sales Volume: *

Years Established: *

Please attach a copy of your EIN or Resellers Permit for verification purposes. *

The max file size is 50MB.

Please upload a file before submitting.

Social Media Handles: *

Select Products interested in:

To assist us in understanding your anticipated monthly purchase volume, please kindly provide the following information: How many units do you expect to purchase per month? *

Select

Wheels

Billet Aluminum Parts

BAC Power Kits

Brake Kits

Tires

Misc

Please upgrade to BASE+ plan to unlock this widget for free trial in the app.

By checking this box, you are confirming that you are a Purchase Agent representing the specified Dealer name mentioned above. Please note that this information will be utilized to create a dealer profile once we have approved your application as a wholesale account. Please be aware that a minimum requirement of 5 units is necessary for wholesale consideration. *

Date *

Select Products interested in:

Order products

Order Total (The sum of all the prices of all the items in the order, taxes and discounts included.)

Contact information

Shipping address

Billing address