AMSOIL Dealer Application & Agreement

Dealer Application

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The AMSOIL Business shall be owned as:

Sole Proprietor

Husband/Wife Jointly

Dealerships are owned by individuals or married couples. After the application process is complete, it's possible to have commissions paid to a legally organized entity (e.g., LLC or corporation) should you choose to establish one.

First Name

Last Name

Middle Initial

SIN

Date of Birth (Day/Month/Year)

Occupation

Spouse Last Name

Spouse First Name

Middle Initial

Spouse SIN

Mailing Address

Address (Apt#, Suite#)

City

Province

Postal Code

Fax

Phone

Direct Deposit

Name of Your Bank

Bank City

Country Code

Currency Code

Routing Number

Account Number

Name(s) on Account

Please accept the terms of service to continue.

I hereby authorize AMSOIL to electronically credit my account at the depository financial institution named above, and if necessary, electronically debit my account to correct erroneous credits. I agree that direct deposits I authorize comply with all applicable law.

I understand that this authorization will remain in effect until I notify AMSOIL in writing or by phone that I wish to revoke this authorization.

If you have a referral number or have been in contact with an independent AMSOIL Dealer, enter the number below...

Referral Number

(if known)

Unable to verify.

Click here if you do not have a referral number but have worked with an AMSOIL Dealer.

AMSOIL Dealer Agreement and Independent AMSOIL Dealer Policies & Procedures

I certify that the information submitted in my Dealer Application is true, correct and complete. I understand that any misrepresentation or omission may result in denial of my application or termination of my Dealership. I also hereby acknowledge that I have read and understand this Dealer Agreement and all the Policies and Procedures that are incorporated herein, and that I agree to be bound by them.

1 Application Information

2 Commission Info

3 Referral Information

4 Agreement

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1 Application Information

2 Commission Info

3 Referral Information

4 Agreement