Contact Name *

Email *

Phone

Legal Business Name *

DBA (if applicable)

Tax ID *

Business Address *

Country *

Years in Business *

Annual Gross Revenue *

Company Website *

Social Media Profiles

Will you be providing installation services for these products? *

Do you have a physical store front? *

Do you plan to sell this product online? *

Tell us about your business/brand: *

Upload Business License & Reseller Certificate *

Thank you for your interest in our dealer program for the MadTrace/JQWerks Magnetic Paddle Shifters.

Our team will review your application and will reach out to you if your business meets the requirments to have exclusive access to product discounts. If approved, you will be presented with additional detail on the program.

Best,

Mashimarho

Thank you for your interest in our dealer program for the MadTrace/JQWerks Magnetic Paddle Shifters.

Best,

Mashimarho

Dealer Request Form

Thank you for your interest in our dealer program for the MadTrace/JQWerks Magnetic Paddle Shifters.

Thank you for your interest in our dealer program for the MadTrace/JQWerks Magnetic Paddle Shifters.

MHD

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