New Dealer Application

German Equestrian Manufacturers Group

Habers Export Agency, Inc
New Dealer Application

Please provide all required details to register your business with us
Business Name*
Business Owner*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Billing Email Address
example@example.com
Shipping Address*

Street Address

Street Address Line 2

CityState

Zip Code
Website
Billing Email*
example@example.com
Shipping Notification Email*
example@example.com
Business Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Buyers Email
example@example.com
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Accounting Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Type of Business*
Business Platform*
Years in Business*
Number of Employees
FEIN*
Resale ID#*
Form of Payment*
One form of payment must be on record. If you choose credit card, all shipments will be paid in full prior to shipping or you can have the option to save a card on file. If ACH, please complete the ACH authorization form found on our home page. To set up terms, please complete the credit application, also found on the home page.
Years in Business
CavalloEffol/EffaxFleckPassierHerm SprengerUVEX
Principal Suppliers*
Authorized Buyers*
Name*

First NameLast Name
Signature*
Date*

MonthDayYear
Date
Should be Empty:

German Equestrian Manufacturers Group