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Dealer Application
 
Thank you for your interest in becoming a dealer of Europe's leading distributor of parts & accessories metric motorcycles. Please fill out the complete form. All fields with an asterisk (*) are mandatory.  

 
Basic information
 
Company name  *
Address  *
Zip / Postal code  *
City  *
Country  *
Company Phone  *
Company Fax  *
Company Email  *
Website
In business since  *
VAT no.  *
VAT no. registered on name  
Chamber of Commerce  *
Copy of Chamber of Commerce registration (PDF or JPG format; Maximum size 2 MB)  *

 
Business hours
 

   Monday  
   Tuesday  
   Wednesday  
   Thursday  
   Friday  
   Saturday  
   Sunday  

 
Contact information - Owner
 
Name(s)  *
Email  
Phone  
Mobile  

 
Contact information - Sales
 
Name  
Email  
Phone  
Mobile  

 
Contact information - Purchasing
 
Name  
Email  
Phone  
Mobile  

 
Shipping address
 
   Same as business address  

 
Invoice address
 
   Same as shipping address  

Show this address on the website

 
Preferred payment method
 *
   Cash on delivery (COD)  
   Pre-payment by wire transfer  
   VISA-card  
   Master card  

 
Business type
 
   Importer / Distributor  
   Manufacturer  
   Franchise-partner of:  
   

 
Specialized in
 
   Retail sales  
   Mail order  
   Wholesale  
   Repairs / Maintenance  
   Bike building  
   Customizing  
   Performance modifications  
   Parts development  
   Clothing  

 
Comments
 
 

 
Shop pictures:
(JPG format; Maximum size 2 MB per picture)
 
Pictures Shop front incl. sign / Shop inside / Workshop / Other  *

Anti spam verification  *