Rush-Co. Marine Become a Dealer

Authorized Dealer Program Registration Form

*Required Fields
* Dealer Name:		* Contact:
* Address:		Address2:
* City:		* State:
* Zip:		* Phone:
Country:		Fax:
* Email:		Web Address :
Mailing Address
Same as Physical Address
Company Name:
Address:		Address2:
City:		State:
Zip:		Country:
Please answer all of the following questions:
Do you sell canopies now? Yes No
Leading Brands
How many lift canopies would you sell a year on new units?
How many for the replacement market?
Who does the ordering?
Would you have space for a display to help market the product? Yes No

Rush-Co. Marine • 1314 Walnut St. • Springfield, SD 57062 • 1-877-330-0512