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National Truck Parts
NationalTruckParts.com

DEALER APPLICATION FORM

Dealer Directory
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About NTP

We have made it convenient and easy for you to register your business today with the directory National Truck Parts. Simply follow the instructions below, and we can have your site listing uploaded as quickly as 24 hours. Please email us, or telephone (815) 432-6357 if you have any final questions regarding our operational objectives or policies.


3 Easy Steps

1) Fill out and submit this online application form. Be sure to include a brief description about your business, but don't worry about a lengthy description as we can accept the information on your trading activities in a different format. If you would like additional named contacts with phone numbers, positions and specific department names, include these in the form as well up to a maximum of three individuals.
2) Submit three to five pictures of your business, services and or products, along with a written and informative brief on your company, to include any information you believe is important to relay to potential customers. We suggest providing between three to five paragraphs, and would ask that we receive authorization to conduct mild editing to enhance cosmetic appearance. We can also prepare the information for you if it is not available. Please email the material to our main office at hypercenter@realapplications.com, or you can mail the information to our physical address at:
Corporate Development Agents, Inc.
539 East Walnut Street
Watseka, IL 60970
3) We will telephone the main contact listed in your application form to coordinate any additional information requirements that we may have. Following successful upload of your information page to National Truck Parts, the final step is to provide either fax, written or email approval of it's contents to ensure your satisfaction.
Today's Date

Contact Name (ex. person responsible for coordinating NTP activities)

Title (ex. Owner, General Manager, Marketing Director, Parts Manager)
Company
Street Address
City
State
Zip Code
Phone


Fax
Email Address (ex: rob@realapplications.com)
WWW Address (ex: www.realapplications.com)


Billing Contact
Billing Address (if different from main address)


City
State


Zip Code

Alternate Contact Name #1
Position / Department
Telephone
Alternate Contact Name #2


Position / Department


Telephone
Alternate Contact Name #3


Position / Department
Telephone

How Many Years In Business
Operational Trading Area (ex. Illinois, Indiana, Wisconsin, Kentucky)
Major Products / Services (ex. truck bodies, parts, restoration, etc.)
Brief Description of Business
Program Length Selected:
3 months $150.00
6 months $300.00
12 months $600.00 (prepayment of yearly program qualifies for 10% off!)
I understand that by submitting this form, I am confirming our participation in National Truck Parts for the duration selected, and that we are a legal trading business eligible for involvement with this program. I also understand that upon completion of the selected term, that there are no further obligations due from our business, although we will be given the opportunity to continue our directory listing if we so choose at the price structure published at the time of program renewal.


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by Corporate Development Agents
www.realapplications.com