Dealer Registration Form

Become an Authorized Dealer! Tell Us More About Your Company.
Please provide all required details below to qualify your business with us. If your company qualifies to become a dealer, a Wicked Creations representative will be in contact with you to discuss further opportunities. Thank you for your interest in becoming a Wicked Creations Inc. dealer.
Business Owner*

First NameLast Name
Business Name*
Contact Number*

Area CodePhone Number
E-mail*
Company Website*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Business*
How long have you been in business?*
Please list the products that you service/sell.*
Please provide a short description about your company.*
How did you hear about Wicked Creations?*
If Other was selected above, please specify here:*
Please describe your current interest level in becoming a Wicked Creations Dealer.*

Looking to start selling in in the next 3 monthsLooking to start in 6 monthsLooking to start in 12 monthsCurrently just researching for dealer opportunitiesReady to buy today
What market do you service? What is your geographic reach?*
What is your annual sales volume?*
How many sales people do you have on your team?*
What is your monthly marketing budget and what marketing mediums do you utilize?*
What experiences, if any, do you have in the realm of vehicle modifying.*
What are your sales goals for 2021-2022*
Should be Empty:

Become an Authorized Dealer! Tell Us More About Your Company.