Dixie International Company
www.dixieinternational.com

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Dealer Application

Dixie International Company is a Dealer Only wholesale distributor. In order to buy from us you must qualify by filling out the form provided with details about your business. If you are interested in setting up an account with us please complete the form below. This form is meant for new dealers. If you already have an account with Dixie International, please call 800-848-6476 to activate a web account.

Basic Company Information

Company Name
Year Started Type of Business
Primary Location

City: Zip Code
Telephone
Fax
Email
Website

Owner Information

First Name: Last Name:
Owner's Address
City: Zip Code

History: For our records list other wholesale firms in the powersports business that have sold to you. This is not a credit application.

Distributor: Address:
Distributor: Address:

Bank Information

Bank:
Bank Address:

Authorized Dealer

Check this box if you are an Authorized Dealer
If so for which brands?

Comments?

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Dixie International Company

3636 Indianola Ave. Columbus, Ohio 43214 | 800-848-6476
©2011 Dixie International Company