MotoTote Dealer Application
Please take a minute to provide the following information:
Your Primary Business: *
Select "bricks and mortar" if you have one or more physical locations that you would like us to show on our dealer locator map. If you select "Web store/seller" you will still be shown on the map as an online dealer with a link to your website.
Your Website (if applicable):
A link to your website will be placed on our dealer locator map.
Your answer
Purchaser's Name: *
Normally this is the person that will be placing the orders and/or making purchasing decisions and main point of contact. This information will not be published.
Your answer
Company Name: *
This will be published on our dealer locator map.
Your answer
Address of retail location(s):
This information will be published on our dealer locator map. If you have more than one retail location you can list them here. Please note: Shipping address(s) can be specified at the time orders are placed so don't worry about that now.
Your answer
Billing address if different from retail location: *
This will NOT be published.
Your answer
Phone: *
This will be published on our dealer locator map.
Your answer
Purchaser's Email: *
This will be the log in username for your account at www.mototote.com and will NOT be published.
Your answer
Comments:
Is there anything else you'd like to tell us?
Your answer
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This form was created inside of MotoTote LLC.