Skip to content
Need something now?
Call us at (517) 278-9015
Search for:
Home
Our Products
Residential Wheelchair Ramps
Commercial Ramps
Wood Aluminum Ramps
Portable Ramps and Thresholds
Handrails, Steps and Gates
Ramp Rentals
Become a Dealer
Resources
ADA Codes
FAQs
About Us
Service Areas
Jobs
Customer Reviews
Contact Us
Dealer Application Form
Home
/
Dealer Application Form
Dealer Application Form
Travis Mather
2020-04-20T19:28:09+00:00
Business information
Your name
*
Are you the business owner?
*
Yes
No
Who is the business owner?
*
Legal business name
*
Are you doing business as this name?
Yes
No, I'm doing business as another name
What name are you doing business as?
Which of the following are you operating as?
Partnership
LLC
Corporation
Date business started
*
Month
Day
Year
Veteran owned status
*
VOSB
SDVOSB
None
Which of the following describes your business?
*
Please check all that apply.
Franchise
Dealer
Independent
Accessories
Repair
Other
Which types of ramps does your business sell or service?
*
Please check all that apply.
Residential ramps
Commercial ramps
Portable ramps
ATV/Recreational ramps
None of the above
Does your business sell and/or service any other brands?
If so, please list them below.
Business billing address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business shipping address
*
Same as billing address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
What type of property is this?
*
Residential
Commercial
Is there a liftgate?
Yes
No
Contact information
Phone
*
Fax
Email
*
Website
Billing information
Accounting email
Purchasing email
Federal ID #
Resale tax #
Business references
Business reference 1 of 3
Business name
*
Account #
Contact name
*
Phone
*
Fax
Email
Business reference 2 of 3
Business name
*
Account #
Contact name
*
Phone
*
Fax
Email
Business reference 3 of 3
Business name
*
Account #
Contact name
*
Phone
*
Fax
Email
Document uploads
Please upload the following documents:
Completed Michigan Sales Tax Exempt Form
General Liability Insurance
Upload files here
*
Drop files here or
General consent
*
By submitting this form, you confirm that all information presented above is true and accurate to the best of your knowledge.
*
Consent
*
You are the business owner, partner, or corporate officer.
*
Email
This field is for validation purposes and should be left unchanged.