Online Dealer Application

Fill out the form below. All fields marked with * are required.

Section 1 — Business Information

Legal Business Name *

Operating / Trade Name (if different)

Physical / Shop Address *

City *

Province / State *

Postal / Zip Code *

Mailing Address (if different from above)

Primary Contact Name *

Title / Role

Phone *

Mobile

Email Address *

Business Website (if any)

Federal Tax ID / EIN (US) or Business Number (Canada)

GST / HST Registration Number

Reseller / Resale Certificate Number

Other business names you plan to sell Havoc products under

Section 2 — Business Type

Select all that apply:

Section 3 — Sales Channels

Indicate the channels through which you intend to sell Havoc and Aquatic AV products:

In-store / physical retail locationOwn business websiteOther:

Important: Sales through third-party online platforms (Amazon, eBay, Facebook Marketplace, etc.) are prohibited without prior written consent from Havoc Motorcycles.

Section 4 — Referred By

Sales Representative / Agent Name

Agency / Company

By submitting this form, you certify that:

All information provided is true, complete, and accurate.
You have read and agree to be bound by the MAP Policy and Authorized Sales Channel Policy.
Approval is at the sole discretion of Havoc Motorcycles Inc. and submission does not guarantee approval.

You can review the full policies in the downloadable PDF application.