Authorized Dealer Application Form

Business Details

Technical & Sales Capabilities

Do you currently sell/install electrical or CAN-based vehicle products?

If yes, please list brands or product types

Number of Technical Installation Staff

Number of Sales Personnel

JakeLight Product Interest

Which JakeLight product(s) are you interested in representing?

Expected Annual Sales Volume

Estimated Start Date for Selling JakeLight Products

Operational Information

Do you have a warehouse for stocking inventory?

Preferred Order Method

Do you require dealer training or certification?

If yes, preferred format

References

Company Name

Contact

Phone

Company Name

Contact

Phone

Additional Comments

Please describe why you would like to become a JakeLight Authorized Dealer

Acknowledgment

By submitting this application, you acknowledge that JakeLight, LLC will review your information and may request additional documentation before approval. Approval is not guaranteed.

Company Information