Apex Marine | Dealer Application

Apex Marine | Dealer Application
Apex Marine Dealer Application for Qwest Pontoons is pending management approval. Current Financial Statements may be requested.

By submitting this application, you agree to apply for dealership status, and authorize Apex Marine Inc. to contact trade references listed.

NOTE: All parts transactions are handled via credit card. Once this application is approved you will be asked to fill out a credit card authorization form for us to keep on file.
Are you an existing Qwest Dealer?
What brand are you apply for?
Dealership Name
Dealer DBA Name
Dealer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dealer Website
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Hours

Labor
Hourly Labor Rate
Photo of Posted Hourly Rate

Please take a photo of your posted hourly rate and attach it to this application.
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Understanding Trade References
Reference 1: Business Name
Reference 1: Business Type
Reference 1: Contact Name

First NameLast Name
Reference 1: Contact Email Address
example@example.com
Reference 1: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2: Business Name
Reference 2: Business Type
Reference 2: Contact Name

First NameLast Name
Reference 2: Contact Email Address
example@example.com
Reference 2: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3: Business Name
Reference 3: Business Type
Reference 3: Contact Name

First NameLast Name
Reference 3: Contact Email Address
example@example.com
Reference 3: Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Retail Financing Provider(s)
Federal ID Number
State Tax ID Number
Northpoint Account Number
Huntington Account Number
Name of Financial Institution
Financial Institution Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact at Financial Institution

First NameLast Name
Financial Institution Email Address
example@example.com
Financial Institution Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Notes from Dealer
Apex Marine Dealer Application for Qwest Pontoons is pending management approval. Current Financial Statements may be requested.

By submitting this application, you agree to apply for dealership status, and authorize Apex Marine Inc. to contact trade references listed.
Please verify that you are human
Should be Empty:

Labor