Dealer Information:

Our goal is to establish a strong dealer network.  We understand the importance of our dealers and we will do everything we can to service our dealers needs.  We realize if we take care of our dealers, that our dealers will take care of our consumers.

If you are interested in becoming a dealer, please fill out the following application and it will be forwarded to the appropriate person to follow up.

Call Toll Free for Restricted Dealer Access to Web Pages 1-866-842-9267

Retail Name

Address

City, State  Zip Code

Buyer

TelephoneFax

e-mail 

Franchise Dealer  Accessory Dealer  Mail Order/Internet

Business Type  Corporation  Partnership  Other

How long have you been in business Is Building Owned  Leased

Name of Officers or Principals:         Title                Social Security

Bank (Name and Account):                Contact                    Telephone

Payment Terms Preffered:

Open Account Requested Credit Limit

COD          Visa / Mastercard Card #exp.

Trade References                    Contact                    Telephone                Fax

Retailer warrants to Zamp Sports Corp. ("Zamp") that the above information (including attachments) is complete, true, and accurate.  Retailer  agrees that a representative of Zamp may contact any person(s) named above for verification of facts about Retailer.  Retailer agrees to make   payments in accordance with the terms of the invoice or be subject to forfeiture of trade discounts.  Interest will be added to past due invoices at a rate of 1.5% per month of any unpaid balance.  If payment is returned to Zamp due to insufficient funds, Retailer will be responsible for 5% of the check or $25.00 ( whichever is greater). In case it becomes necessary for Zamp to retain the service of an attorney to assist in the collection of any amount past due, Retailer agrees to pay Zamp's reasonable attorney's fees and court costs.