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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: