Floorboard Puck - Kickstand Pads - Dealer Registration

DEALER REGISTRATION Complete the following form to become a FloorboardPuck.com kickstand pad dealer.
Company Name	*
Address 1	*
Address 2
City	*
State	*
Zip Code	*
Telephone	*
Company Web Site URL	(i.e. http://www.companywebsite.com)
Tax Licence # or Federal ID #	*
Contact First Name	*
Contact Last Name	*
Contact Title
Contact Email Address	* NOTE: Email address will be used for Dealer Login.
* Required Field

505 E. Packard Hwy
Charotte, MI 48813

Phone: 517.543.2888
Fax: 517.543.1788

FloorboardPuck.com • by Kemco Precision Gaging
Gages • Jigs • Fixtures • Custom CNC

DEALER REGISTRATION