Dealer Application Form

Name of Business*

Website*

Years in Business*

Estimated monthly sales ($)*

Title*

Phone*

Email*

Billing Address

Same as Shipping Address

City, State, Zip code*

Contact Name*

Phone*

Email*

Note : California dealers must fill out a resale tax form or they will be charged sales tax until the form is received.

Trade References

Company Name*

Address*

Contact Name*

Contact Number*

Minimum Advertised Price Policy (“MAP”) - Effective: 08/01/2022

Policy statement

Please understand your submittal of this Application to BodyKore Inc. and its review and processing does not mean BodyKore will approve your company as a dealer. You will not be approved by BodyKore until the full execution of a new or updated Dealer Contract(s). Please allow approximately 15 days for us to review and process your Application. Further information may be requested in order to process your application.

Application Name*

Date*

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT.