Dealer Application

Thank you for your interest in becoming a RotoKAP Dealer!

Please fill out the form below to start your application process.

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Contact Information

Business Name(Required)

Contact Name(Required)

First Last

Contact Title / Responsibility(Required)

Contact Email(Required)

Contact Phone(Required)

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

Please provide a brief description of your business(Required)

Number of Physical Stores

Number of Employees

Do you sell online? *

Yes

Do you have a social media presence?(Required)

Yes

If yes to above, please provide links to your social media platforms.

Website (If none, please also indicate that below)

If possible, drag and drop completed application forms below:

Drop files here or

Max. file size: 50 MB.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

To finish your application, you will need to complete the following forms (as applicable)*:

*If you are unable to attach these forms, please email completed forms to: sales@rotokap.com