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Dealer Application Form

To register as a dealer with OASE-Parts.com, please fill in the form below. Once approved, we will email you a discount code to enter when ordering parts online. The definition of a dealer is a company that purchases OASE products from an OASE distributor and is actively engaged in the sales of OASE products either through a physical store location or an e-commerce website. If you are an OASE distributor, please go to our Distributor Application Form. If you are a contractor, please go to our Contractor Application Form.

This form is for registering as a dealer for parts only. If you wish to become an OASE Dealer and purchase whole goods (i.e. pumps, filters, etc.), please click here.

Company Information
  Company Name
Contact Person
Website
PST # (BC only)

Mailing Address
 Street/PO Box
City
State/Province
 ZIP/Postal Code

Shipping Address (if different)
Street
City
State/Province
 ZIP/Postal Code
 
OASE Distributor
Please enter the name and address of the OASE Distributor you currently purchase from

Contact Information
   Phone Number
Fax Number
Email Address

Please re-enter your email address below.
 
    Email Address
Message
Security Code

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