Thank you for your interest in becoming an authorized dealer of Voodoo Cycle House LLC. products. Our family welcomes the opportunity to supply you with quality parts/accessories MADE IN THE U.S.A at discounted prices for company resale purposes. At Voodoo Cycle House LLC. we reserve the right to accept or deny any dealer application. Contact us for additional information if needed.

 

 

   

REQUIREMENTS TO PROCESS APPLICATION
1. To qualify for Voodoo Cycle House dealer status your business must involve one or more of the following:
⦁ Motorcycle sales
⦁ Motorcycle parts/accessories sales
⦁ Motorcycle service related business
2. You must include with application:
⦁ A copy of company letterhead, business card, photos of business (inside and out), and any yellow page/listing you may have.
⦁ A copy of resale permit, business license, and any city/county business registration you may have
⦁ Print Application and fill out completely, legibly, and SIGN. FAX APPLICATION to (910) 491-2749 or SCAN AND EMAIL to sales@voodoocyclehouse.com
DEALER APPLICATION
BUSINESS NAME: _______________________________________________
CONTACT PERSON: ______________________________________________
PHONE #: ___________________ FAX #:_____________________________
WEBSITE: __________________________ EMAIL:______________________
STREET ADDRESS: ________________________________________________
CITY: _________________________ STATE: ___________________________
ZIP: __________POSTAL CODE:______COUNTRY:______________________
DATE BUSINESS STARTED: _________________________________________
HOW LONG BUSINESS IN PRESENT LOCATION: _______________________
*NAME OF OWNER/PARTNER: ____________________________________
HOME ADDRESS: ________________________________________________
CITY: _________________________ STATE: ________________ ZIP: _______
HOME PHONE #: _______________
*NAME OF OWNER/PARTNER: ____________________________________
HOME ADDRESS: ________________________________________________
CITY: _________________________ STATE: ______________ ZIP__________
HOME PHONE #: _______________
TYPE OF OWNERSHIP (CHECK ONE): ___ INDIVIDUAL ___PARTNERSHIP ___CORPORATION
PLEASE CHECK ALL THAT APPLY TO YOUR BUSINESS


Motorcycle Franchise___ Retail Chain Or Discount Store___
Custom Motorcycles___ Parts & Accessories Only____
Other___ Describe your business if you select OTHER as an option__________________________________________________________________________________________________________________________

 

 

 

LIST TRADE REFERENCES WHICH ACCEPT YOUR COMPANY CHECK OR EXTEND CREDIT ON ACCOUNT (INCLUDE 3)


*COMPANY NAME: __________________________________________________
CONTACT PERSON: __________________________________________________
STREET ADDDRESS: __________________________________________________
CITY: _________________________ STATE: ________________

ZIP: __________
PHONE #: __________________________

FAX #: __________________________
WEBSITE: __________________________

EMAIL: _________________________
*COMPANY NAME: __________________________________________________
CONTACT PERSON: __________________________________________________
STREET ADDDRESS: __________________________________________________
CITY: _________________________ STATE: ________________

ZIP: __________
PHONE #: __________________________

FAX #: __________________________
WEBSITE: __________________________

EMAIL: _________________________
*COMPANY NAME: __________________________________________________
CONTACT PERSON: __________________________________________________
STREET ADDDRESS: __________________________________________________
CITY: _________________________ STATE: ________________

ZIP: __________
PHONE #: __________________________

FAX #: __________________________
WEBSITE: __________________________

EMAIL: _________________________

 

 

 

 

 

EMPLOYEE INFORMATION

STORE MANAGER: ___________________________________________
PARTS MANAGER: ___________________________________________
BOOKKEEPER: _______________________________________________
EMPLOYEES AUTHORIZED TO PURCHASE: _________________________
____________________________________________________________
____________________________________________________________
STORE HOURS OF OPERATION

MON THRU FRI ___________TO__________
SATURDAY __________TO__________
SUNDAY __________TO__________
BANK REFERENCES


BANK NAME: ____________________________________________________________
CONTACT PERSON: _______________________________________________________
STREET ADDRESS: ________________________________________________________
CITY: _________________________

STATE: ________________ZIP:________________
POSTAL CODE: ___________________

COUNTRY: ______________________________
PHONE #: _________________ FAX #: _________________

EMAIL: ________________

CREDIT AUTHORIZATION FORM


Check one of the following below. At Voodoo Cycle House LLC. we accept payment on orders in the form of:
___VISA ___MASTERCARD ___AMERICAN EXPRESS ___DISCOVER
___C.O.D CASH ___C.O.D COMPANY CHECK ___WIRE TRANSFER
CREDIT CARD USE (preferred method)- Please complete credit card authorization form below.
BUSINESS CHECK USE- All business checks must be received by Voodoo Cycle House LLC. and payment cleared before orders ship.
WIRE TRANSFER- All wire transfers must be received by Voodoo Cycle House LLC. and payment cleared before orders ship. This method pertains mostly to dealers in countries outside of The United States Of America.

 

 

BY COMPLETING THIS FORM YOU AUTHORIZE VOODOO CYCLE HOUSE LLC. TO CHARGE YOUR CARD FOR PAYMENT ON ORDERS PLACED BY PHONE OR EMAIL. WHEN PLACING ORDERS USING PHONE DIAL (910) 491-2749 or EMAIL to sales@voodoocyclehouse.com PRICES SEEN AT www.voodoocyclehouse.com ON OUR IN-HOUSE PARTS/ACCESSORIES WILL NOT BE THE PRICE YOU PAY AS A DEALER. RATES FOR PRODUCTS WILL BE SENT TO YOU ONCE APPROVED AS AN AUTHORIZED DEALER OF VOODOO CYCLE HOUSE LLC. PRODUCTS. FEEL FREE TO CONTACT US FOR DETAILS. ALL ORDERS MUST BE PAID IN FULL BEFORE BEING SHIPPED.

Check one of the following below:
___VISA ___MASTERCARD ___AMERICAN EXPRESS ___DISCOVER
CARDHOLDERS NAME AS APPEARS ON CARD:_________________________________
CREDIT CARD# ___________________________________________________________
BILLING ADDRESS: _______________________________________________________
CITY: _________________________

STATE: ________________

ZIP:________________
POSTAL CODE: ___________________

COUNTRY: ______________________________
EXPIRATION DATE: ___________/___________ 3 DIGIT CVV CODE: _________
SHIPPING ADDRESS (leave blank if same as billing)____________________________

CITY: _________________________

STATE: ________________

ZIP: ______________
POSTAL CODE: _________________ COUNTRY:_________________________________
AUTHORIZED SIGNATURE_______________________________________DATE_____________
PRINT NAME __________________________

JOB TITLE_________________________