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BECOME A DEALER


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DEALER ACCOUNT APPLICATION

We are looking for Dealers who can place our antenna lines and supporting products in their retail store or at Hamfests.

Dealer Account Application Information

Name
Title
Company Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL
Primary Method(s) of how/where you will sell the products
*Enter Zone of Interest* USA (Specify State(s) and/or City(ies)) Canada South & Central America Specify area if European Location Africa Australia Middle East Far East Other - Please specify

Please provide account information for setting up your Dealership Login:

User Name

Password

Confirm Password

I agree to comply with the Dealer Agreement CLICK HERE TO READ DEALER AGREEMENT

For Export from USA:I agree to submit a copy of my "General Agency Agreement" (if importing from U.S.) or sign and return a copy of Missouri Form 149 (if based in Missouri, USA) "Sales/Use Tax Exemption Certificate" CLICK HERE