Vespa Scooters - Become a Dealer

Please complete the following information to facilitate further contact with you. Highlighted items are required.

YOUR CONTACT INFORMATION

First Name:		Last Name:
Email:		Phone:

YOUR COMPANY INFORMATION

Company Name:

Type of Business:

DBA:

Owner's First Name:

Owner's Last Name:

Street:

City

State/Province

Zip/Postal Code

Country

County

Business Telephone:

Business Fax:

Website

Number of Locations:

Number of Years in Operation:

Current Annual Revenue:

Total Credit Line:

Number of Employees:

Industry:

Real Estate:

Current Floorplan
Financing Provider:

(e.g., GECDF, Honda Financial, Textron, Local Bank, N/A, etc.)

Dealer Management
System Provider:

Current Brands Carried:

Aprilia	BMW
Arctic Cat	BRP
Buell	Ducati
Harley-Davidson	Honda
Husqvarna	John Deere
Kawasaki	KTM
Moto Guzzi	Piaggio
Polaris	Suzuki
Triumph	Vespa
Victory	Yamaha
Other (specify):
None/Not a Current Dealer

YOUR PROPOSED DEALERSHIP FACILITY

Address is same as above (check here):

Address (Proposed):

City (Proposed):

State/Province

Zip/Postal Code (Proposed):

County (Proposed):

Area (in square ft):

Zoned for Motorcycle Sales:

Yes No

Zoned for Motorcycle Service:

Yes No

Tell Us About Yourself:
(please include why you would like to open a dealership, why the dealership location you propose is attractive, how you plan to market our brand, etc.)

Notice to all applicants:

This is an Application for Dealership only. Piaggio Group Americas (PGA), does not assume any obligation or liability for any cost or expense incurred in preparing or submitting this application, nor for any liability or obligation contracted by any parties submitting this Application. All Applicants MUST BE APPROVED BY PGA and Sales and Service Agreements entered into and executed by both parties and delivered to you before a dealership relation can commence. All Agreements, orders or any document, paper, or instruments submitted with such Application shall not be binding upon PGA until Sales and Service Agreements are duly executed by both parties.

I have read the foregoing paragraph and certify all statements and financial conditions on the attached financial statement to be true and complete.

Thank you for your interest and your passion. We look forward to receiving your information.

Alumni Offering Free Giveaways at OSU Events • Bikers & the City • Excursion: Blue Highways • Red carpet report: 'Where the Wild Things Are' • Finding Ease, Efficiency and Fun on a Scooter • A Vespa in the Classroom