distributing auto accessories - become a distributor of wood dash kits and automotive accessories

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Thank you for your interest in becoming a distributor of our products.

Please fill out the distributor application form below. We will send to you a wholesale distributor kit which will guide you through the process. Make sure to include all of the information requested and note that a fax of your business license may be required to verify your business status.

If you have any questions, please call us at 800-354-4449.

Company Name:
Your Name:
Title:
Company Mailing Address:
Suite / Unit:
City:
State :
Zip (use 9 digits if known):	-
Country:
Telephone:
Fax:
Email Address:
How many retail locations do you have?:
Type of Business?:
Do you currently retail auto parts/accessories?:	Yes No
How well do you feel our products will sell in your area/market?:
Tax ID Number:
City Resale Number:
Comments:

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