3110 Wilson Drive NW
Walker, MI 49534
P 616.719.5530
F 616.719.5525
Dealer/Refurbisher - Application
Use the Tab key to move between fields. Field names in
red
denote required information.
Dealership Name
Address
City
State, Zip
Select state...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
Newfoundland
New Brunswick
Nova Scotia
Northwest Territories
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
,
Web Address
Phone
/ Fax
Name
/ Title
Email Address
Size of Dealership
Major Lines
Territory
Number of Sales Personnel
Number of Design Personnel
Do you have a showroom?
yes
no
Do you other locations?
yes
no
Which Tradeshows do you attend?
How did you hear about Facements?
Would you like us to...
Send Brochures
Send Binder
Call
Quantity
Quantity
Best Time
Comments