Criteria:You must be a full time business in a permanent location, with a sign showing that you are in the MOTORCYCLE or ATV business, (not jet ski's or car parts) This application MUST be accompanied by a photograph of the exterior (store front) of your business, or a copy of your yellow page ad, and a copy of your State business license. For California dealers, we must have a signed resale card on file, otherwise we must charge sales tax on all orders. If you can't meet these criteria, you will not be approved. Partial or incomplete applications will be ignored. Print Clearly, or Type!

Business Name__________________________________DBA?________________________
Physical Address______________________________________________________
City___________________________________State_____________Zip__________
Company Tel # (_____)_______-_____________FAX # (____)__________________
Owners' Name_______________________________
Home Tel# (____)_____________
Owners' HOME Address________________________________________________
Owners' Social Security #________-_______-________( Yes, we need this)
List Major Distributors and aftermarket companies you deal with now, on either a Net 30 / Open
Account basis, or C.O.D., and for how long? (Credit Reference)
Name_____________________Terms_______Phone#_______________Years?___
Name_____________________Terms_______Phone#_______________Years?___
Name_____________________Terms_______Phone#_______________Years?___
Year business started: 19______ 20______ Sole Prop.___: Corporation___: Partnership___:
Name and Home address of all partners, or officers. (Please use the back)>>>>
Name of your business bank:______________________________Acct#____________________
Person to contact at your bank___________________________Tel#_____________________
Bank address, City, State and Zip_______________________________________
_______________________________________________________________
I declare that the above statements are true and accurate, and that Toomey Racing has my permission to check with my bank and with the above named credit references for any information regarding my credit worthiness.

______________________________________
Signature of Principal (owner)