Macht Schnell - Wholesale Application

Basic Information

Business Name*

Business Address*

Address

City

State / Province / Region

Zipcode

Country

Primary Phone*

Email Address*

Website URL

Accounting Information

Account Payable Contact Name*

Account Payable Email Address*

Business Contact Information

Contact Name*

Contact Phone*

Contact Email Address*

Business Information

If Other, Please Specify

Vehicles

Please list vehicle makes serviced or sold. Leave this field blank for "all".

How long have you been in business?*

Number of locations*

Years under current ownership*

Owner / Officer Information

Name (1)*

Title (1)*

Name (2)*

Title (2)*

Bank Information

Bank Name

Bank Address*

Address

City

State / Province / Region

Zipcode

Country

Required Attachments

A copy of your Business License and State Sales Tax Exemption Certificate (in either JPG or PDF format) is REQUIRED to qualify for a wholesale account and avoid being billed Sales Tax. Please attach the files below. Your wholesale application cannot be processed without these files.

Valid Business License*

State Sales Tax Certificate*