GenuineScooters
Dealer Request Form

Thank you for your interest in becoming a Genuine Scooters Authorized Dealership. Genuine Scooters is currently accepting applications from established 2 wheel dealers only. Please fill out the form below and a Genuine Scooters representative will contact you as soon as possible.

All the information below is required

Contact Information:

First Name: Last Name:
   
Email Address: * Phone: *

Company Information:

Company Name: * Web Site Address: *
Address: *
City: * State: * Zip: *
Phone: *
Fax: *
Showroom Size (sq. feet): *
Financing Company (GE, Textron, DSC): *
Brands Sold: *
Years In Operation: *