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SERVICE=ENJOYMENT.  Veloteq is the leading producer of quality ebikes and electric bicycle products for North America   QUALITY=SAFETY.

Veloteq Dealer Application

Veloteq products are sold only by authorized dealers appointed by Veloteq Distributors. Products are shipped from the Distributor having responsibility for the area within which the Dealer is located, or from the nearest distribution point. Veloteq Corporation does not ship directly to dealers. This application will be forwarded to the Distributor best able to serve you.

Thank you for your interest in Veloteq products.

1. Dealer Information
 

First Name

Middle Intitial

Last Name

Business Title

Organization

Business Address

Address 2

ST/PROV

Zipcode

Business Phone

Other Phone

FAX

Email Address

Sales Tax Number

2. Do you operate from multiple locations? If so, please list them below.

Location 1

Location 2

Location 3

Location 4

Location 5

Location 6

3. Do you own or lease your business location?

Own business location?

Lease business location?

4. How many years have you been in business?

Years in business?

5. The minimum dealer opening order is 6 units. Are you willing to place an opening order?

Minimum Order

6. Dealers are required to have service facilities to assemble and maintain our products. Do you have a service facility?

Service Capability

7. Veloteq Corporation and/or its Authorized Distributors may require additional information using third party verification. Do we have your permission to request such information?

Credit Check?

updated: 05/08/2008

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