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Dealer Application Form

Dr. Jekill & Mr. Hyde Dealer Policy:
Factory Authorized Harley-Davidson, Indian, BMW, Triumph and Victory Motorcycle dealers in good standing with the respective manufacturer(s) are eligible to be dealers of Dr. Jekill & Mr. Hyde exhausts. All Dr. Jekill & Mr. Hyde dealer orders can only be shipped to the dealer's shipping address on file – no exceptions.

Business Information

Check all that apply

Shipping Address


Billing Address


SIGNATURES: Dealer Application will not be processed unless signed by OWNER** Required

I authorize the use of online ordering by the representives of the business named above. I understand that the business is responsible for keeping passwords confidential and resposible for all orders generated by the business representatives. I further understand that the orders placed online will be processed according to account terms without verification from a Dr. Jekill & Mr. Hyde US representative. All orders must be paid in full and shipped directly the business shipping address we have on file - no exceptions.