RangeRunner by Mac's Trax, Inc. | TerraTrack Grand Rapids, Michigan

RangeRunner Video Brochure Sales and Service

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Dealer Survey

Contact Information

Business Name

Contact Name		Title

Business Phone		Business Fax

Address

City

State/Province

Postal Code

Email Address

Website

Years in Business		Annual Sales Volume



Product Lines Carried

		Annual Sales

		Annual Sales

		Annual Sales

		Annual Sales

		Annual Sales

Inventory Financing

Do you have established credit with major inventory finance company?		YES NO

If yes, which company?		Credit Line Amount

Do you have an established relationship with a finance company or bank to facilitate your customers needs?			Yes No

If yes, which Institution(s)?



Service Department

Do you have a service department actively servicing major brands of related equipment?			Yes No

If yes, list brands and the scope of service you provide:



Does your service department perform hydraulic system maintenance and repair?			Yes No

What is your shop rate?/hr

Market Area

What is the population of the immediate area where you are located?

What is the population of the surrounding area that you consider your market region?

How many miles from your main location does this area extend?

TerraTrack Products

Based on your knowledge of our product, its price and your experience with your customer base, how many RangeRunner ATV's do you believe that you can sell in a 12 month period? We realize that this is an estimate, please give a range:

Low of units, High of units.

Please list any specific types of customers that may be unique to your market, for example: Fire & Rescue, Logging, Snow Removal, Utility Companies, Ski Resorts, Pipeline Construction, Forestry, etc.



Please take a few moments to tell us any specific information that you would like to share with us about your dealership.





Credit Application

Branch Locations	Yes No
(Please List)
1.		2.

Fed. Tax ID

Business Classification

Corporation Partnership Proprietorship

Date Incorporated

Date Business Started

Financial Fiscal Year End

Customer Contact

President/Owner		Sales Manager

Accounts Payable

Supplier Reference - Must have mailings address (List three or more)

Name		Name
Address		Address
City, State, Zip		City, State, Zip
Phone		Phone
Fax		Fax


Name		Name
Address		Address
City, State, Zip		City, State, Zip
Phone		Phone
Fax		Fax

Bank References

Name		Name
Address		Address
City, State, Zip		City, State, Zip
Phone		Phone
Fax		Fax

Requested Credit Line

District Manager

Blanket Sales and Use Tax Exemption Certificate
I hereby certify to Hutchinson/Mayrath/TerraTrack that I am exempt from the payment of sales tax because:

1.	The product will be used in production of another product.

2.	The product is to be resold by me in the normal course of business. I collect and remit tax to the state under license:


3.	I hold a sales and use tax exemption #

4.	This is a non-profit organization or governmental entity exempt from the sales tax an uses tax exemption # issued by the state of .

	(If your state does not require exemption certificates, write "none" in the exemption number space.)

5.	OTHER. Must specify below:




By clicking "Submit", I hereby certify that I am authorized to make application for and receive goods on credit for the above named business and that to the best of my knowledge all information provided in this form is accurate and do hereby give my permission to TerraTrack to verify all facts disclosed herein.


TerraTrack All-Terrain Work Vehicles	phone : 616-735-0580
2689 Walkent Drive, Suite F	fax: 616-735-0581
Walker, MI 49544	Email: info@terratrack.com