DEALER APPLICATION

*Company Name:
*Contact Person :
Position with organization:
*Address:
*City:
*Province:
*Postal Code:
*Phone:
*E-Mail:
Ontario PST# :
GST#:
New or existing business:
If existing, how long?:
Type of business:
Annual Sales:
Do you want exclusive territory? Yes  No
What area?

* Required Fileds

© Red Star Motor Company