Dealer Application

Become a Rocket Trailer Dealer

Company Name

Date

Website/URL

Address

City

State

Zip

First Name

Last Name

Phone

Years In Business

Business Type Business Type

Fed Tax ID#

D&B Number

Are you currently a trailer distributor?

Yes

Market(s) you currently represent

Marine

Utility

PWC

Which do you sell most often

Galvanized

Aluminum

Painted

Powder-Coated

Your Geographic boundaries or territories for sales &/or service?

List Brands and other Product lines you carry

How did you hear about us

Signature

Attach Your Tax Exempt Certificate

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By Signing Your Name, You Hereby Say That the Above Information is true.