New Dealer Application Form

Please fill in the below form to start the application process. Once you've submitted your application, a New Dealer Onboarding Representative will contact you to complete the process within 72 business hours.
Company Name *
Legal Name
Industry *
Full Name *

Prefix First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Please Note: While this section is not required, please provide the following information to expedite your application.
Resale Number
(If applicable)
Upload Resale Certificate

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Upload a copy of your Resale Certificate (If applicable) Cancel of
Upload ST-120 Form

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Blank ST-120 form provided below Cancel of
Why do I need to fill this out? To qualify for sales tax exemption, you must complete an ST-120 form. The ST-120 form is provided below for your convenience.
Need help filling out this form? click HERE
Authorized Representative *

Prefix First Name Last Name
Title *
Signature *

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Date

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Date
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