Silca Dealer Application
Dealer/ Shop Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
Zip / Postal Code *
Your answer
City *
Your answer
State *
If you live outside the United States, select OTHER
Type of Business *
Owner Name(s)
Your answer
In Business/ Under Ownership since; month/year: *
MM
/
DD
/
YYYY
Annual Sales
Your answer
Re-Sale Tax ID Number *
Your answer
Number of Locations
More
Major Bicycle/ Accessory Lines Carried
Your answer
Terms and Conditions
1) SILCA will accept your application upon approval from your local sales rep or inside sales management.
2) The default terms of your account will be Credit Card. SILCA accepts Visa, Mastercard, Amercian Express, and Discover Card. SILCA discourages the use of Debit Cards associated with a checking account due to the preauthorization process for sales orders and the possibility of holding funds.
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