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Please answer all questions - all answers are confidential.

You will be mailed a catalog and price list  upon approval.  Approval is based on the responses of the supplied references and completion of this form. 

 
Dealership Name
Contact Name
Address
Address 
City
State
Zip Code
Phone
Fax
E-Mail Address
List principals and indicate their position in the business
Name
Home Address
Title
Phone
   
Name
Home Address
Title
Phone
   
Name
Home Address
Title
Phone
 
Number of Employees
Year Business Began
What is your major line of business?
Business Type 
(ie: Corporation, Partnership, Proprietorship)
Bank Name
Bank Phone Number
Tax Number
List the names and address of 2 SNOWMOBILE  INDUSTRY manufacturers or parts suppliers you are a qualified dealer for (cannot be retail suppliers).
Company Name
Address
City
State
Zip Code
Fax Number
Phone Number
   
Company Name
Address
City
State
Zip Code
Fax Number
Phone Number


Snowmobile Products All-Vehicle Products Close-out Products
Hi-Performance Engineering - 823 Lowell Drive Thief River Falls, MN 56701 USA
Order Toll Free within the United States 1-800-451-5268, Phone 218-681-2390, Fax 218-681-2396
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