Dealer – My Battery Protection

Dealer Application

Business Name*

Business Address*

City*

State/Prov*

Zip Code*

Phone*

Email*

Password*

Confirm Password*

Website URL*

Year Established

Tax ID (EIN)*

Ownership Structure (Sole Proprietor, LLC, Corporation, etc.)

Primary Contact Name*

Primary Contact Title:*

Email Address*

Phone Number*

Number of Locations

Do you currently sell extended service plans

If yes, which brands

Approximate Monthly E-Bike Sales Volume

Brands of E-Bikes Sold

Do you offer in-house repairs or maintenance services*

How do you promote service plans to your customers?

Would you need training or marketing materials for selling our service plans?*