MPS Dealer Application

MPS Dealer Application
(click here if you prefer submitting info via a secure page)

Fill out all fields of this form and submit it to us. We will review it and e-mail you your Dealer Number. Florida businesses must fax a resale certificate to us before purchasing tax exempt.

Please Note: MPS is currently looking for a Distributor outside the United States and are no longer accepting Dealer applications outside the USA. If you are interested in becoming a Non-USA Distributor or know someone who is, please contact us at sales@mpsracing.com .

Business Name

Ship To Address

City State Zip

Work Phone Fax

Website URL E-Mail

Owners Name First Last

Home Address

City State Zip

Home Phone Date

Date Business Opened Bank Name

Distributors You Currently Buy From

State Resale or Business License Number

All parts sold by MPS are for off road closed course use. They are not intended for use on public streets or highways.

Motorcycle Performance Specialties
5350 McIntosh Point #132 - Sanford, Florida - 32773
Phone: (407)330-9727 - Fax: (407) 322-8632
Sales E-Mail: sales@mpsracing.com