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Tiresavings Wholesale Program

If you are interested in opening a wholesale account, please complete the form below and one of our customer service representatives will be in touch with you shortly to provide you with more details regarding our program.

Name of Business:
   
Street Address:
   
City:
   
State:
   
Zip Code:
   
Phone Number:
(Including Area Code)
If your telephone number is not listed with Directory Assistance, we will ask you to provide a copy of your phone bill showing the phone number and business address.
   
Fax Number:
   
Web Site Address: (If applicable)
   
Acct. Payable Contact Name:
   
E-Mail Address:
   
Who would you like us to contact with questions on this application?
   
Contact Name:
   
Phone Number:
(Including Area Code)
   
E-Mail Address:
   
Type of Business Choose one option that best describes your business.
   
 
Automotive Service Mass Merchant Vehicle Auction Vehicle Manufacturer
               
New Car Dealer  Used Car Dealer  Wholesaler  Exporter 
               
Independent Tire Dealer  Regional Tire Dealer  National Tire Dealer  Company-Owned Store 
               
Tire Manufacturer  Wheel Manufacturer  Tuner/Accessories  Warehouse Club 
               
Other: 
   
How long have you been in business?
   
Business Organization:  Sole Proprietor    Partnership    Corporation
   
Name of owner(s) or corporate officer(s):
   
  It typically takes 1 week to process an application; however it depends on the completeness of an application and response time from the references listed. To contact us regarding the status of this application, please email: john@tiresavings.com A copy of your business license and state sales tax certificate is required. Please fax to 617-277-2255, Attn. Katie. Your wholesale application will not be processed without it.
   
  I hereby authorize the company to whom this application is made, any credit bureau, or other investigative agency employees to investigate the references herein given and any statements or other data obtained from me or any other person pertaining to the company's credit and financial responsibility. In the circumstance that outside intervention is required to collect payment, I agree to pay any additional fees resulting from such collection activities.
  Yes No
   
Name:
 
        




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