New Dealer Application Form
Dealer Name:

PLEASE NOTE: All fields should be filled in

Dealer Address:  
Main dealer activity:

Detailed information
required please

EXAMPLE: Sales of new and used motorcycles. If new motorcycles are offered what brands are supplied or are performance after-market parts supplied? What after-market parts are currently supplied? What brands of parts are already supplied similar to products offered by Translogic Systems Ltd?

Does the dealership offer fitting and installations? Is the dealership able to carry out custom cycle installs including harness wiring and connections?

Dealer web address:  
Number of employees:  
Dealer main
phone number:
Number of
years trading:
FED tax ID number:
Your name:  
Position: Direct phone number:
& email address:
Parts department
#1 contact name:
Direct phone number:
& email address:
Parts department
#2 contact name:
Direct phone number:
& email address:
Service department
#1 contact name:
Direct phone number:
& email address:
Service department
#2 contact name:
Direct phone number:
& email address:
Would you like to receive free
point-of-sale marketing material?
Yes No  
Does the dealership participate
in selling parts on ebay?
Yes No  
Accounts department
contact name:
 
& email address: