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Dealership Information

Dealership Legal Name and DBA (as applicable)*

Tax ID (EIN)*

Entity Type (LLC, LP, S or C Corp. etc.)

Number of Locations and Years in Business

Primary Street Address (include City, State, and Zip)*

Website URL*

Dealer Principal Name*

Phone Number*

Email*

Are you a franchised or independent dealership?*

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9220 Marketplace Drive, Miamisburg, Ohio 45342, United States

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