U.S.A. applicants must include copies of business license and resale tax certificate.
All U.S.A applicants must also provide of copy of: Illlinois Form CRT-61
FAX TO: 630-685-4054 or EMAIL TO: ngm@go-ev.com
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There are prerequisies that must be met before we will consider an application for a Authorized Motor Dealer. Check the boxes below indicating you have met the prerequisite: |
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YES NO
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| Company Name*
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| Contact First Name*
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Contact Last Name*
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| Steet Address 1
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Street Address 2
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| City
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State
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| Zip Code
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Web Site URL
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| Country
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| Telephone Number
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Alternate Telephone Number
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| Fax Number
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| Email*
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Alternate Email
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| Enter a Login Name
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Enter a Password
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| Federal Tax ID Number
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State Resale Tax Number
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| Select Type of Business
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| President or Owner's Name
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| President or Owner's Address
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| President or Owner's Home Telephone
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Enter Applicable Information About Your Company and EV Experience
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| By clicking "Submit", the Applicant certifies that all information on this form is true and accurate to the best of their knowledge. |
