New Customer Form – Giovanna Luxury Wheels

Please submit the following information to become an Authorized Giovanna Wheels Dealer.

Company and Contact Information
Company Name*
DBA Name*
Phone*
Address
Website
Address*
Address 2
City*
State / Province / Region*
Zip / Postal Code*
Country
Contacts
Manager's Name*
Manager's Email*
Accounting Name
Accounting Email
Owner's Name*
Owner's Email*
Business Forms
Please submit this form with the following
Business License*
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 128 MB.
Proof of DBA
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 128 MB.
BUSINESS CARD*
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 128 MB.
License Expiration Date*
MM slash DD slash YYYY
Picture of Location
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, Max. file size: 128 MB.
For California Customers Only
Seller's Permit
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 128 MB.
Completed & Signed CA Resale Certificate
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 128 MB.
WTW Inc Terms and Conditions*
- I have read and agree to the Terms and Conditions
Phone
This field is for validation purposes and should be left unchanged.

Company and Contact Information