Form Test Page – Lefthander Performance

Please take a moment to fill out the dealer application below. We look forward to working with you! Fields marked with an asterisk (*) are required.

Dealer Application

Business Info

Business Name *

Full Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Web Site Address

Social Media Link

Business Description *

Uploads

State Business Reseller Certificate / Tax ID Number *

Drag file here or click to browse

Accepted: JPG, JPEG, GIF, PNG, PDF — Max: 4 MB

Upload a photo of your state business reseller certificate or tax ID number

Business Photo Upload

Drag file(s) here or click to browse

Accepted: JPG, JPEG, GIF, PNG, PDF — Max: 8 MB — Up to 5 files

Upload up to 5 photos of your business if it's a physical shop

Tax Form Upload

Drag file here or click to browse

Accepted: PDF — Max: 4 MB

FIll out and upload tax form, available for download below

Please fill out the appropriate form and upload above.