Wholesale Marine Dealer Application v2

147 Circle Freeway Drive West Chester, OH 45246 PH: 513-860-8899 | Email: dealer@wholesalemarine.com
Name of Company
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Fax Number
Please enter a valid Fax number
Email*
example@example.com
Owner/Owners
Contact Name
Website:
Type of Business (check all that apply)

Boat BuilderBoat DealerBoat/Engine RepairCharter BoatGovernment / Non-profitDrop Shipper
How Long In Business*
Annual Sales
Federal Tax ID#
Description of Company, including how you market your services*
The preceding information is for the purpose of obtaining access to dealer website with Wholesale Marine. By submitting this application you authorize Wholesale Marine to check references. Wholesale Marine requires dealers to purchase a minimum $1,000 annually to maintain their dealer pricing.

All dealer purchases require payment via credit card.

Upon application approval the user name and password you provided will be activated. You will have full access to view and purchase our full line of marine parts and accessories. We will notify you by email as soon as your account has been activated.
THE BUYER AS UNDERSIGNED HAS READ AND AGREES TO THE ABOVE TERMS:
Print Name

First NameLast Name
Signature

Clear
Title
Date

MonthDayYear
Date
How did you hear about us?
Should be Empty: