Dealer Application Please fill in the following application to be considered as a dealer for Double OTT UTVA. We will contact you with any questions and for a credit card to put on file for automatic billing. Dealer Application Company Name: Street Address City State Zip Phone Fax (If applicable) Year Established General Operating Hours Website/URL Email Sale Tax Resale # Annual Anticipated Purchases $ Type of Ownership Corporation Partnership Sole Proprietorship Payables Contact Store Purchaser Owner or Principle(s) Home Street Address City State Zip Cell Phone Cell Phone 2 (if applicable) Reference 1 Company Name City, State Phone Reference 2 Company Name City, State Phone Reference 3 Company Name City, State Phone How did you hear about Double OTT UTVA? Magazine Salesman Manufacturer Dealer Show Facebook Google Search Other Details on Above Type in Owner/Principle Name in lieu of Signature * Date reCAPTCHA If you are human, leave this field blank. Submit