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Dealer Application


NOTE:

You will not be able to access the dealer section until this application is approved.

In order to receive full dealer benefits, a copy or scan of your Dealer License or Seller’s Permit must be submitted. You may email the scan to info@revperf.com with your business name in the subject line.

Once received and approved, you will receive an approval message at the e-mail address you provided.

Dealer approval is generally notified within 24-48 hours. If there is an error in the submission or approval process you will be notified via the email address provided on your application.

If you prefer to send your application by fax or regular mail, use this fillable PDF version. Don’t forget to include copies of your Tax Exempt Form, License or Seller’s Permit and a photo of your shop.

If you already have registered on this site, log in at the login page.


* Required information

First Name:
 
 *

Last Name:
 
 *

Company Information

Company Name:
 
 *

Street Address:
 
 *

City:
 
 *

State/Province:
 
 *

Country:
 
 *

Post Code:
 
 *

Owner’s Full Name
(if different):
 

Contact Information

Phone (daytime):
 
 *

Alternate Phone:
 

Fax Number:
 
 

E-Mail Address:
 
 *

Website:

Create Your Password

Password:
 
 *

Password Confirmation:
 
 *