CERTIFIED RESELLER APPLICATION FORM

IF YOU WOULD LIKE TO BECOME A CERTIFIED RESELLER, FILL IN THE FORM BELOW AND WE WILL BE IN TOUCH!

FIRST NAME

PHONE NUMBER

COMPANY NAME

WEB ADDRESS

NUMBER OF STORE LOCATIONS

DO YOU CARRY SIMILAR PRODUCTS? IF SO WHAT IS YOUR AVERAGE MONTHLY SALES VOLUME?

How did you hear about us?

ANY OTHER INFORMATION

LAST NAME

EMAIL ADDRESS

POSITION

COMPANY ADDRESS

PRIMARY BUSINESS (BIKES, E-MOBILITY, SCOOTERS eTC)

TYPE OF COMPANY

NUMBER OF EMPLOYEES

ANNUAL SALES REVENUE (GBP)

Thanks for submitting!