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Thank you for your interest in becoming a ScubaMax dealer. We look forward to doing business with you. Please complete the following form to begin your ScubaMax dealership account.

Dealer Information

Company Address

Proprietor, Partners or Officer Information

Owner #1

Owner #2

Owner #3

Trade References


Billing Information

Credit Card Billing Address

I agree to following terms and conditions by acceptance of merchandise on an invoice: Claims for errors must be made upon receipt of goods. Returned goods are subject of a 25% restocking fee. Returns will not be accepted if the claim is made 15 days after date of invoices. A.N.S.F. Checks and past due invoice will be subject to a $30.00 late fee and a 2.5% per month interest charge (30% annually) until the remaining balance is paid in full. I will be responsible for any N.S.F. Check or past due invoices collection fee if legal action is taken.