Dealer Registration Form

Become an Authorized Dealer!

European Auto Part's Southern California
Please provide all required details below to qualify your business with us. Please provide us with the following below. Please allow 2-4 business days for application to process. Any questions please E-Mail Us

Infoeurostores@gmail.com

If Application is APPROVED we'll share access to our Website (Europlug.net) Password Proteced Web Page Only For Wholesalers.
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
WHOLESALE RE-SALE NUMBER *
How long have you been in business?*
Amount of estimated monthly purchases*
How did you hear about EMS?*
Should be Empty:

Become an Authorized Dealer!