MI Diamond
Milwaukee Iron, Inc.
110 Ramsey Place - Lynchburg, VA 24501
Phone: 434.385.1044 - Fax: 434.385.1046
Dealer Application Header
**Please DO NOT fax pictures of your shop. Please send them through through email, or send attached to original application through the mail. Only fax copies of your business license and yellow page ad when sending dealer application.
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Owners And Officers Header
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Account Type Header
(First orders are COD/Certified Check/Money Order/Credit Card)

 
Motorcycle Credit References Header
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Banking Information Header
I, , do hereby authorize Milwaukee Iron, Inc. to contact my banking references.
  
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Contact
 
Type Of Account
 
Dealer Information Header

After dealer criteria has been met, there must be an initial order of $300.00 (three hundred dollars) placed to be set up as a "Dealer". To continue "Dealer" status there must be a minimum of $500.00 (five hundred dollars) per year purchased. A yearly review will be done, at which time, if yearly minimums are not met it will be grounds for the account to be made inactive. An account that is made inactive will be required to reapply for "Dealer" status and will be required to place the initial minimum order. Any missing information on this application will automatically be cause for denial.

I / We the undersigned, personally guarantee payment of all debts with Milwaukee Iron Inc., incurred by the credit applicant.

 
Sign Here
 
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NOTE: This dealer application will be sent to Milwaukee Iron Inc. upon submission. We require a digital signature, or a fax with an original signature in order for your account to be set up. If you fax your application in, please attach pictures of your shop and send through the mail.

If a PO number is required for your company purchases, please mark here  

 

I hereby affirm that all information is factual and correct. Upon submission, all information will be sent to Milwaukee Iron Inc.


Please Press The Submit Button Only Once.