Motorcycle Storehouse - Since 1982 Aftermarket Parts & Accessories for Harley Davidson

Dealer Application

Thank you for your interest in becoming a dealer of Europe's leading distributor of parts & accessories for Harley-Davidson and Custom motorcycles. Please fill out the complete form. All fields with an asterisk (*) are mandatory.

	Basic information
Company name		*
Address		*

Zip / Postal code		*
City		*
Country		*
Phone		*
Fax		*
Email		*
Website
In business since		*
VAT no.		*
VAT no. registered on name
Chamber of Commerce		*

Copy of Chamber of Commerce registration

(PDF format; Maximum size 2 MB)

Business hours

	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Sunday

	Contact information - Owner
Name(s)		*
Email
Phone
Mobile

	Contact information - Sales
Name
Email
Phone
Mobile

	Contact information - Purchasing
Name
Email
Phone
Mobile

	Shipping address
	Same as business address

	Invoice address
	Same as shipping address

Show this address on the website

	Preferred payment method	*
	Cash on delivery (COD)
	Pre-payment by wire transfer
	VISA-card
	Master card

	Business type
	Authorized Harley-Davidson dealer
	Official Harley-Davidson service center
	Un-authorized Harley-Davidson dealer
	Importer / Distributor
	Manufacturer
	Franchise-partner of:

Percentage Harley-Davidson	%