Become an Authorized Legend Manufacturing, Inc. Dealer
Fill the dealer application form out below. For security reason, we are not taking applications through e-mail. Nothing will be transmitted over the internet during this process, all information entered is safe. After you have filled out the form completely click Print Summary to make sure everything is correct, then print and fax the form to the number indicated at the top of the Print Summary page. PLEASE ATTACH A LEGIBLE COPY OF YOUR SALES TAX EXEMPTION CERTIFICATION! Thank you.
Dealer Legal Name: *
Website Address
What Other Lines of Trailers Do You Carry? *
Mailing Address: *
Mailing City: *
Mailing State/Province and Country: *
Shipping Address: *
Shipping City: *
Shipping State/Province and Country: *
Phone Number: *
Fax Number: *
Is this dealership a full service facility? (i.e. service, parts, hitches, etc.): Yes No *
Tell us how you pay: Cash Floor Plan *
If floor planned, which company? *
Transportation: *
Federal I.D. Number: *
Sales Tax I.D. Number: *
General Manager: *
E-Mail Address: *
Contact Name: *
Business Structure Select One... Sole Proprietorship Partnership Corporation S Corporation Limited Liability Company (LLC) *
Owner/President *
Owner/President Social Security Number *
Owner/President Home Address *
Owner/President Home Number *
Owner/President Cell Phone *
Bank Name *
Bank Contact Person *
Bank Phone Number *
Bank Address *
Bank Account Number *
Business Name *
Contact Name *
Phone Number *
Address *
Authorized Signature: I authorize the above references (including banking) to release information to Legend Manufacturing, Inc. in order to determine an open account. *
Title: *
Please make sure all of the information below is correct. If you are satisfied please sign it on the bottom where authorization is required and fax it to us at 989-227-0801, if you need to make corrections click BACK to do so. Call Legend Manufacturing, Inc at 989-227-0800 with any questions. Thank you. PLEASE ATTACH A LEGIBLE COPY OF YOUR SALES TAX EXEMPTION CERTIFICATION!
Dealer Legal Name:
What Other Lines of Trailers Do You Carry?
Mailing Address:
Mailing City:
Mailing State/Province and Country:
Shipping Address:
Shipping City:
Shipping State/Province and Country:
Phone Number:
Fax Number:
Is this dealership a full service facility? (i.e. service, parts, hitches, etc.):
Tell us how you pay:
If floor planned, which company?
Transportation:
Federal I.D. Number:
Sales Tax I.D. Number:
General Manager:
E-Mail Address:
Contact Name:
Business Structure
Owner/President
Owner/President Social Security Number
Owner/President Home Address
Owner/President Home Number
Owner/President Cell Phone
Bank Name
Bank Contact Person
Bank Phone Number
Bank Address
Bank Account Number
Business Name
Contact Name
Phone Number
Address
Authorized Signature: I authorize the above references (including banking) to release information to Legend Manufacturing, Inc. in order to determine an open account.
Title:
