New Dealer Application - United States

Thank you for your interest in becoming one of our dealers. Please fill out the requested information and we will contact you with additional information.

For fields requesting photographs, if unable to upload on the form you may attach them to an e-mail and send them to sales@eagledist.com

Requested Information
Please provide your sales tax certificate number. This is sometimes the same as your business license number.
Please list any additional personnel you authorize to place orders, please include name, telephone number and e-mail address.
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