Site.newlevelmotorsports.com



9129 Chesapeake DrivePhone (858) 571-6615San Diego, CA 92123 Fax (858) 571-6616NEW WHOLESALE DEALER APPLICATIONPlease make sure that you include a VALID copy of your Business License or Tax ID with this application, or we will not be able to process it.Customer Information Customer Business NameName of Owner (CEO if Corporation)Business AddressBusiness City, State, Zip CodeBusiness Telphone NumberBusiness FAX NumberBusiness Email AddressOwnership Type (circle)Sole Proprietorship Partnership LLC Corporation (If incorporated, which state? ______________)Date Business StartedHas this business or any of its owners/officers EVER filed for bankruptcy? (circle)NO YES (Date: ___________) Do you sell products on the internet?NO YES (Enter Website Address: _______________________________)Do you Sell Products on Ebay or ?NO EBAY (Ebay Id: ________________) Amazon (Amazon ID ____________)Are you currently “Black Listed” or on any “Do Not Sell” lists issued by any automotive manufacturer?NO Yes (List Manufacturer and Explain below)Annual Sales (circle)0-25,000 25,001-50,000 50,001-100,000 100,001-500,000 500,001-1,000,000 1,000,000-1,500,000 1,500,000-2,000,000 2,000,001+ By Signing below, I certify that I am authorized to make purchases for the above listed company. I also certify that all of the above information is complete and accurate. I wish to open a wholesale account with New Level Motor Sports Inc.If you are located in California, you will be provided with a California Resale Form and must provide a California Resale Card in order to be exempt from California Sales Tax. If you do not understand any part of the above, do NOT sign this form and do NOT submit it. Customer Signature and Date:Customer printed name and Title: ................
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