FANATIC DEALER PARTICIPATION AGREEMENTFanatic Dealer Participation Agreement • January 6th, 2015
Contract Type FiledJanuary 6th, 2015A Distributor is an authorized wholesale distributor of Falken brand passenger and light truck tires supplied by Falken. The Dealer is a retail seller, not a wholesaler, of passenger and/or light truck tires. A Dealer has completed and submitted to Distributor a Falken Fanatic Program Dealer Enrollment Application (the "Enrollment Application") and desires to participate in the Falken Fanatic Program (as defined below) which is conducted by Distributor and supported by Falken, in accordance with the terms and conditions set forth herein.
DEALER INFORMATION Date Dealer Name Dealer Address City State Zip Code Federal Tax ID Number Number of Locations Dealer Account Number Dealer Phone Number For Official Use Only Dealer Fax Number Dealer Contact Name Associate Dealer Number Dealer...Fanatic Dealer Participation Agreement • January 12th, 2018
Contract Type FiledJanuary 12th, 2018AGREEMENT / APPROVAL We hereby request to be enrolled as a Dealer in the Falken Fanatic Program. Together with this Enrollment Application, we are submitting a signed Dealer Participation Agreement and opening purchase order for Falken's approval. We acknowledge that Falken may approve or deny our request for enrollment in the program in its sole and absolute discretion. As a participating Falken wholesale distributor, we request that Dealer be enrolled in the Falken Fanatic Program. Together with this Enrollment Application, we are submitting a signed Dealer Participation Agreement for Falken's approval. We acknowledge that Falken may approve or deny this request in its sole and absolute discretion. We acknowledge that enrollments will not be processed during the last ten (10) business days of any given quarter. DEALER DISTRIBUTOR Auth. Sig.: Signature: Print Name: Print Name: Title: Title: Date: Date: