Dealer Application

Fill out the information below. All applicants must be involved in the marine trade (marinas, dealers, repair, etc.). Once your application is approved, you will be given a Dealer # and password that will allow you access to the many features of this website.

The information you provide below will be kept confidential and will not be sold or distributed to any other entities.

Company Name:
Street Address:
City:
State:
Zip Code:
Ship to Address (if different than above)
Address:
City:
State:
Zip Code:
Name of Person Responsible for Processing Payments:
Phone:
Fax:
Email:
Type of Ownership:
Officer or Owner:
Title:
Officer or Owner:
Title:
Officer or Owner:
Title:
Date of Organization:
Bank Reference
Name:
Type of Account:
Account #:
Phone:
Fax:
Marine Trade References
Name:
Address:
City, State, & Zip Code:
Phone:
Fax:
Name:
Address:
City, State, & Zip Code:
Phone:
Fax:
Type of Account Requested:

By submitting this form, you hereby apply to Marysville Marine Distributors, Inc. for permission to purchase as a marine dealer. This application will serve as an authorization to check bank and credit references listed within as well as authorize Marysville Marine Distributors, Inc. to periodically release account information to appropriate parties.
If purchases from Marysville Marine Distributors, Inc. are made on an open account basis, the account holder agrees to the following terms:

1. To pay for all purchases in full on or before the 10th of the month following purchase or as otherwise agreed.

2. To pay a service charge computed at the periodic rate of 1 1/2% per month on all unpaid balances.

3. To pay reasonable collection costs and attorney's fees if the account is in default (90 days past due and under $1,000.00; 60 days past due and over $1,000.00).

4. To pay a $30.00 fee on any Non-Sufficient Funds (NSF) checks issued to Marysville Marine Distributors, Inc.

5. Marysville Marine Distributors can, at any time, refuse to permit further purchases or may limit the amount of items purchased, or may require advance payment in the event outstanding purchases exceed the amount established by Marysville Marine for this account.

6. To allow Marysville Marine Distributors to vary open line of credit based upon payment history and policy.

7. A copy of the "Sales Exemption Certificate" must be provided in order that Marysville Marine may sell to you as a dealer without charging sales and/or use tax.

If you have filled out all of the information, and you understand the terms explained above, please submit the application now!