DEALER SIGNUP

Business Details

Business / Shop Name*

Trading As (if different)

CIPC Registration Number*

VAT Number (if applicable)

Business Type*

B-BBEE Level

Primary Contact

Full Name*

Role / Designation*

Email*

Cell / WhatsApp*

Landline

Website

Instagram

Facebook

Store Information

Street Address*

Suburb*

City / Town*

Province*

Postal Code*

Branches

Preferred Contact Method

Operations

Years in Business

Approx. Monthly Bike Sales

Do you offer servicing/repairs?

Offer Armour-Ride installations in-store?

Delivery Preference

Preferred Payment Method

Credit Terms Required?

If yes, we’ll follow up with a credit application.

Supporting Documents (optional)

Business Registration / VAT Certificate

PDF/JPG/PNG up to 10MB

Notes

Anything else we should know?

Compliance & Consent

I agree to the Dealer Terms & Conditions*

I consent to the processing of my personal information in accordance with POPIA.*

Thank you! You’ll receive a confirmation email once your application has been reviewed.

Country/region