BAJA FORGED DEALER APPLICATION
OFF-ROAD PRODUCTS BUILT TO FORGE YOUR OWN PATH
Thank you for you interest in becoming a BAJA FOGRED dealer.
Please fill our your information below to summit your application to become a dealer.
We will have one of our account managers go through the information provide and someone will contact you to let you know if you qualify to be an authorized dealer.
COMPANY CONTACT INFO
COMPANY LEGAL NAME
FEDERAL TAX ID #
CALIFORNIA RESALE PERMIT
PLEASE ATTACH A COPY OF CALIFORNIA RESALE PERMIT
ONLINE STORE / WEBSITE ADDRESS
DO YOU OFFER INSTALLATION
HOW DO CUSTOMER HERE ABOUT YOU?
WORD OF MOUTH, ADVERSITMENT, ONLINE, ETC.
DO YOU HAVE A SHOWROOM WHERE YOU DISPLAY PRODUCT?
FIRST AND LAST NAME
OWNERS CONTACT PHONE #
OWNER'S EMAIL ADDRESS
ACCOUNTS PAYABLE CLERK NAME
ACCOUNTS PAYABLE PHONE #
ACCOUNTS PAYABLE EMAIL ADDRESS:
SALES CONTACT PHONE#
SALES CONTACT EMAIL ADDRESS:
LIST OF AUTHORIZED PURCHASERS:
Send me a copy of my responses
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