Dealer App Test

We must receive ALL of the following from your company to qualify for Dealer Pricing:

- A completed Dealer Application
- A copy of Business or Resale Licenses
- A photograph of your business front

FLORIDA DEALERS: must submit current copy of tax resale certificate

Street address, P.O. box, company name, c/o

City

State / Province / Region

Postal / Zip Code

Country

Please upload the required materials to continue.

Please supply up to 3 references that are actively distributing related industry parts to your business that you have purchased from in the past 12 months. Skip ahead to the next section if no references are available

Street address, P.O. box, company name, c/o

City

State / Province / Region

Postal / Zip Code

Country

Street address, P.O. box, company name, c/o

City

State / Province / Region

Postal / Zip Code

Country

Street address, P.O. box, company name, c/o

City

State / Province / Region

Postal / Zip Code

Country

Payment Terms:
RIVA Racing DOES NOT offer open account terms.
Payment must be made via credit card (U.S. Dealers ONLY), Wire Transfer, Company Check, or Cashier Check/Money Order (made payable to RIVA Racing)

Street address, P.O. box, company name, c/o

City

State / Province / Region

Postal / Zip Code

Country

This application is submitted by applicant to RIVA Racing ("RIVA") for the purpose of obtaining dealership status. RIVA reserves the right to decline dealership status to applicant and , in the event the dealership status is approved, to change or revoke applicant's dealership status on the basis of changes in dealership policies or applicant's financial condition and/or payment record. All sales of products and services by RIVA to applicants will be subject to RIVA's standard sales terms and conditions as printed in the RIVA Performance Catalog in effect at the time of the order. Any variance from those terms and conditions will be effective only if agreed to in writing by RIVA prior to the time the product or services are ordered. By signing this application or selecting yes to the terms, applicant hereby certifies that all information provided on this application is correct to the best of applicant's knowledge. Applicant hereby authorizes the release of credit and banking information to RIVA to the references listed on this application. After 12 month inactivity applicant must re-apply for dealer status

Powered by jqueryform.com