New Customer Form – Giovanna Luxury Wheels

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

Company
This field is for validation purposes and should be left unchanged.
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: 512 MB.
Proof of DBA
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 512 MB.
BUSINESS CARD*
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 512 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: 512 MB.
For California Customers Only
Seller's Permit
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 512 MB.
Completed & Signed CA Resale Certificate
Accepted file types: jpg, gif, png, pdf, jpeg, bmp, tiff, doc, docx, Max. file size: 512 MB.
WTW Inc Terms and Conditions*
- I have read and agree to the Terms and Conditions

Company and Contact Information