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Mirage Trailers : TNT Trailer : Dealership Application

Why wait? You can begin the application process and become an authorized Mirage Trailers or TNT Trailer dealer today!

*Required information.

Applicant Information

Business Name * Please provide us with the name of your dealership or place of business.
Primary Contact * Please enter the name of the primary contact at your business.
Mailing Address * Enter your mailing address.
City * Enter the city for the corresponding address.
State/Prov * Enter the US State or Canadian Province for the corresponding address.
Zip/Postal * Enter the zip code or postal code for the corresponding address.
Shipping Address * Enter your shipping address.
City * Enter the city for the corresponding address.
State/Prov * Enter the US State or Canadian Province for the corresponding address.
Zip/Postal * Enter the zip code or postal code for the corresponding address.
Phone * Please provide us with a phone number
Fax Please enter your fax number.
Email * Please enter your email address.
Company Website Address Enter the address for your website (if your dealership has a website). Otherwise, leave blank.
Type of Business * What type of business do your operate?

Principle Applicants

Name * Please enter the name of the principle applicant(s).
Title Enter the title for the principle applicant(s).
Name * Please enter the name of the principle applicant(s).
Title Enter the title for the principle applicant(s).

Bank Information

Bank Name The name of your bank
Primary Contact The contact person at your bank.
Mailing Address * Enter your mailing address.
City * Enter the city for the corresponding address.
State/Prov * Enter the US State or Canadian Province for the corresponding address.
Zip/Postal * Enter the zip code or postal code for the corresponding address.
Phone * Please provide us with a phone number
Fax Please enter your fax number.
Email Please enter your email address.
Are you set up for wholesale financing? * Have you already been set up for wholesale financing? Answering no does not disqualify your application.
Wholesale finance company name What is the name of your finance company?

Current Products

Product Line

Product Line Applying For *
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