AFR500 Dealer Application
If you would like to carry the Ballenger Motorsports AFR500 series of products please complete this vendor application and apply to become our next official dealer. Once completed send your TIN (Tax ID) or W9 Form and your State Tax Resale Certificate (in the US) to sales@bmotorsports.com or via fax at +1-804-433-3825.
Company Information
Please tell us about your business.
Business Name *
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Full Business Address *
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Company Website or Facebook Address
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Primary Contact Details
Please provide the contact information for the primary contact for your dealer account.
Full Name of Primary Contact *
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Email Address of Primary Contact *
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Phone Number of Primary Contact *
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Billing Contact Details
Optionally provide the contact details for the person handling your billing for this account if different than what is provided above.
Full Name of Billing Contact Name
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Email Address of Billing Contact
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Phone Number of Billing Contact
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Volume Estimates
Please provide an estimate with respect to your anticipated initial and ongoing volume.
Anticipated Yearly Volume *
Initial Purchase Quantity *
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