Authorized Dealer Application

U.S.A. applicants must include copies of their business license and resale tax certificate.

All U.S.A applicants must also provide a copy of: Illinois Form CRT-61.

Please FAX to: 630-685-4054 or EMAIL to: ngm@go-ev.com

Prerequisites

Please confirm that you meet the following prerequisites before applying.

By clicking "Submit", the Applicant certifies that all information on this form is true and accurate to the best of their knowledge.

NetGain Motors, Inc.