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Dealer Application
To be considered for Dealer status please complete our Dealer Application. You must be a bona fide dealer, motorcycle retailer, manufacturer. We must be able to verify that you are in the appropriate motorcycle business to receive Dealer privileges. We will respond via e-mail as quickly as possible or if you need to place an immediate order call and provide us with the information below at 414-550-9550.


Company Name:


Contact Persons Name:


Telephone Number:


Web Site Address:


Tax Exempt #:


Years in Business:


Email Address :


Confirm Email Address :


Billing Name:


Billing Address:


Shipping Address:










Please list some products that you currently sell (this field is a MUST) as well as
how/where you heard about Milwaukee Bagger:




Please enter the following code into the box provided: