[woocommerce_my_account]Please enable JavaScript in your browser to complete this form.Dealer Name *Requested By *Dealer Email Address *PO (reminder, -DTC at the end)MODEL # *Select Your Sales Representative *Select OneGrant RussellJerry DinerRon ZachariasPatrick DevlinSharon GreenConsumer Name *Street Number *Street Name *Street Name Suffix *Please Select Street SuffixAvenueBoulevardCircleCourtCrescentDriveParkwayRoadStreetOtherUnit Number *City *Province *ABBCMBNBNLNSNTNUONPEQCSKYTConsumer Postal Code *Consumer Phone Number *Dealer NotesDealer must check agree to the following 6 conditions *Dealer agrees to a 8% freight charge to their account with this DTC orderDealer agrees to relay all information to the consumer and engage them with any communication regarding this orderDealer agrees JAM will collect GST and the destination Provincial tax from the Dealer based on wholesale costDealer agrees to collect the GST and appropriate Provincial taxes for the destination province based on Dealer sale priceDealer agrees that this order cannot be cancelled once verified by the repDealer agrees this is not being delivered to a PO boxDealer agrees this order is over the $200 minimumDealer agrees that all shipping claims regarding lost items are to be initiated by Erikson Music onlySubmit[woocommerce_my_account]
