Dealer Application

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Want to become a CTM Marine Authorized Dealer? Complete the form below, follow the instructions carefully and we will review your application as soon as possible.

Company Name *

Name of Representative *

First

Last

Company Email *

Email

Confirm Email

Phone Number *

Company Address *

City *

State *

Zip Code *

Number of employees *

range of Annual Sales *

$0-500k
$500k-1M
$1M-2M
$2M-3M
>$3M

Company Website

Where will you sell CTM-Marine products? *

Online
Retail
Both

How long have you been in business? (years) *

Does your company services or repairs marine air conditioner units? *

Yes
No

Does your company has an EPA Certification? *

Yes
No

Please submit your EPA Certification here

Click or drag a file to this area to upload.

Please choose the territories where your company conducts business *

United States
Canada
Europe
Caribbean
Other (Specify in notes)

Please type other territories here

Submit your TAX ID certificate here

Click or drag files to this area to upload. You can upload up to 5 files.

Submit your EPA certificate here

Click or drag files to this area to upload. You can upload up to 5 files.

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