COMPANY HISTORY

Rent? Lease? Own?

*** All Dealers must provide their SIGNED state re-sale certificate ***

PROOF OF LIABILITY INSURANCE

TRADE REFERENCES

Company Name
Phone
Acct. No.
Acct. Terms
Contact

Social Media Accounts (print account names below)

Facebook
Twitter
Instagram
Pinterest
LinkedIn
All orders must be prepaid by credit card.

Submit the following with this application: company letterhead, business card, voided business check, and website address. Email your application to rod@rmrsuspensions.com

Failure to send in all information will cause this application to be rejected. Exception — franchised dealers who supply us with their franchise dealer numbers.

28 Grand Blvd., N. • Brentwood, NY 11717 • 631-231-9556