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Dealers

Thank you for your interest in Wimmer Custom Cycle products. To become an authorized dealer please complete and submit the below dealer application.

Date:
Business Name:
Address:
City: State: Zip:
Phone: Fax:
E-mail:
Owner or Officer's Name:
Part Manager/Contact Name:

3 MOTORCYCLE BUSINESS RELATED REFERENCES:

If you are a Drag Specialties Dealer all we need is your Drag Specialties Dealer Number

Name: Phone: Account:
Name: Phone: Account:
Name: Phone: Account:

By signing below I have read the terms and conditions associated with this application and agree to them including a one time minimal order of $500.00.

Owner's Signature: Year Business was Established:

Thank you again for your interest in Wimmer Custom Cycle, and we look forward to a successful and long working relationship in the future.

Download Application

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