DEALER APPLICATION FORM
If you are a business
involved in the sale of motorcycles or the supply of motorcycle parts,
service or accessories, our wholesale department would like to work with you
to keep British motorcycles on the road. This application is not intended
for the general public.
Please fill in the application form, sign and return to British Cycle Supply Company by
mail or fax; or give us a call, we may be able to set you up immediately.
COMPANY NAME:_______________________________________________
ADDRESS: ______________________________________________________
TELEPHONE:____________________________________________________
FAX:___________________________________________________________
E-MAIL:_________________________________________________________
WEBSITE:________________________________________________________
CONTACT PERSON:_______________________________________________
OWNER'S HOME PHONE NUMBER:__________________________________
Are you listed in the telephone book under your business name, or in the yellow pages,
with the business name or classification clearly indicating a motorcycle
business?_____
Please attach a copy of the listing, or wholesale invoices from three recognized
motorcycle parts distributors clearly showing that you are receiving a discount.
This is necessary for your company to be eligible for
full dealer discounts.
Do you have a service department capable of repairing British motorcycles?
Would you like us to refer repair customers to you? __________________
Would you like us to contact you periodically regarding dealer specials?
___
PREFERRED PAYMENT METHOD: ___________________________
CREDIT CARD #: EXPIRY DATE: _____________________________
Card Holder's Name: ________________________________________
Card Holder's Address: _______________________________________
Card Holder's Signature: ______________________________________
COD (in Canada and USA): ___________________________________
Signature of Authorized Person: _________________________________
Position: ___________________________________________________