In order to apply for the Function & Form Autolife Inc. Dealer Program, please follow these steps: Complete the entire application with a proper signature of acceptance of our Terms, Conditions, and Policies. Confirmation will be sent to the e-mail address provided below with status on dealer application within 72 business hours. Feel free to contact us at firstname.lastname@example.org to confirm your submission. Business Information Legal Business Name (required) Business Known as Your Name (required) Your Email (required) Phone (required) Web Site Fed Tax ID (required) State Resale License Street Address (required) City (required) State (required) Postal/Zip Code (required) Country (required) Shipping Address (if different) Street Address City State Postal/Zip Code Country Business Type (required) Check all that apply OnlineRetail StorefrontIn-house InstallationWholesale SHIPPING POLICY All orders will be shipped via UPS Ground or USPS unless otherwise agreed upon or authorized by Function & Form Autolife Inc. Function & Form Autolife Inc. will not be responsible for any shipping expenses. ALL drop shipments require an additional $10 fee. No exceptions. Vendors can provide their own shipping labels should they choose to. LIMITED TWO (2) YEAR WARRANTY ON COILOVERS AND ONAIR KITS Function and Form offers a two (2) year manufacturer's warranty that covers defects in material and workmanship of our products only. This warranty excludes any normal wear and tear, damages caused by accidents, harsh/abrasive cleaners, and abuse of any kind including hitting any objects, curbs, and potholes as well as being struck by any object including road debris. All warranty inquires may be directed to our office by contacting Function & Form Autolife Inc. via telephone, fax, or email email@example.com PAYMENT POLICY • All orders must be paid in full, prior to shipment or at the time of will call. • A service charge of twenty-five dollars ($25) will be applied for NSF, cancelled, and/or stop payment checks. • Payments will only be accepted in the form of cash, wire transfer, credit card or approved company checks unless agreed or stated otherwise. • Credit Card and PayPal payments will be charged a 3% fee. No exceptions. • Credit card payments will be processed upon order acceptance. PRICING Function & Form Autolife Inc. stands that its line of parts and accessories is of the highest quality and a direct result of its investment in engineering, design and manufacturing technology and personnel. Therefore, in order to maintain the integrity of the Function & Form Autolife Inc. product line, it has implemented and will enforce MINIMUM ADVERTISED PRICING (MAP) POLICY. Function & Form Autolife Inc. reserves the right to update or revise its MAP Policy and pricing structure with no need of approval from its dealer or wholesale distribution network. Any revision or adjustments is solely at the discretion of Function & Form Autolife Inc. sales management. Full Name Terms and Conditions I agree I have read and understand the above terms and conditions and am authorized to sign on behalf of the above named company.