Become a Dealer

Wholesale Application

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Credit Card Number

Please answer all inquiries. Incomplete dealer applications will not be processed.

*Business Name

*Contact Name

Business Billing Address

City

State

Zip Code

Business Shipping Address

City

State

Zip Code

*Accounts Payable Email

Sales Manager Email

Business Website

Social Media Sites (Complete all that apply)

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*Type of Company

Corporation

Partnership

Sole Proprietorship

LLC

*Federal tax id or SS number

*How did you hear about us?

Additional Documents Required

Upload one of the following:

*File Upload

Purchaser’s Name

Address

City

State

Zip Code

I HEREBY CERTIFY: that I hold valid sellers permit number

Issued pursuant to the Sales and Use Tax Law: that I am engaged in the business of selling: Tires, Wheels and Auto Accessories that the tangible personal property described herein which I shall purchase from American Elite Wheels will be resold by such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business. It is understood that I am required by Sales and Use Tax Law to report and pay tax, measured by the purchase price of such property. The property to be purchased from American Elite Wheels is described as: Wheels and Wheel accessories.

Date

*Name of Purchaser or Agent & Title

*Phone Number

*Signature of Purchaser or Agent