Slingshot Only Dealer Application
Business & Contact; Addresses; Dealer Profile; Tax Certificate; Acknowledgments
Legal Business Name
*
Website
DBA / Dealership Name
City
State
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
ZIP Code
Primary Contact Full Name
*
First Name
Last Name
Title / Role
*
Email Address
*
example@example.com
Direct Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Expected Start Timing
Years in Business
Business Type
*
Powersports Dealership
Retail Shop
Installer
Ecommerce Reseller
Other
Shipping Address
Same billing address?
Yes
No
Billing Address
Polaris Slingshot Experience
Rows
Yes
No
Currently Sells Slingshot Parts
Professional Installation
Other Brands Serviced or Sold
Sales Channels (select all that apply)
Retail Location
Company Website
Online Marketplaces
Events / Mobile
Other
Approximate Number of Slingshot Customers per Month
Required Geographic Territory
Certificate Status
Have Resale Certificate
In Process
Do Not Have
Brands and Categories of Interest
Twist Dynamics
Zarate Steel Works
JMS
Wind Restrictor
DDMWorks
NRG Innovations
Underground Audio
Electrical Connection
Other
Business Notes
I confirm this application is preliminary and subject to manual Slingshot Only management review and dealer agreement. No account privileges or F - DEALER tag will be granted upon submission.
*
I understand and agree
State Resale Number
Signer Full Name
First Name
Last Name
Submit Application
Signature
Signed Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Should be Empty: