Cycle Shack, Inc.
1104 San Mateo Ave So. San Francisco, Ca 94080-6602
Tel: (650) 583-7014 Fax: (650) 583-9154

DEALER APPLICATION

Thank you for your interest in our products. Cycle Shack, Inc. Sells only to dealers and
distributors doing business in the motorcycle aftermarket

To open a dealer account with Cycle Shack, Inc. we will need the following information:

1. Company Name:   ___________________________________________________________________

2. Complete Address:   _________________________________________________________________
                                   (Street Address)

                                   __________________________________________________________________
                                   (City)                                                      (State)                                 (Zip Code)

3. Phone/Fax Number: (_____)____________________________ (_____)_________________________
                                   (Phone)                                                     (Fax)

4. Owner's Name: ______________________________________ (_____)_________________________
                                                                                               (Owner's Home Phone)

5. Complete Address:   _________________________________________________________________
                                   (Street Address)

                                   ___________________________________________________________________
                                   (City)                                                      (State)                                 (Zip Code)

6. Years in Business: ________________

7. Photographs of the front of your premises including your business sign and parts counter.

8. Copies of your sales tax certificate and business license.

9. Copy of Telephone book advertisement.

10. Distributors currently purchasing from:      1. _______________________________
                                                                   
                                                                        2. _______________________________

                                                                        3. _______________________________

Please Note: All orders are sent C.O.D. "certiied check or money order" only unless you are a franchised
motorcycle dealer.

 

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