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Home » Catalog » Vibrant Performance New Dealer Registration Form
Vibrant Performance New Dealer Registration Form My Account Information

NOTE: If you already have an account with us, please login at the login page.
Contact Information * Required information
Your IP address: 38.107.191.80
Business Name:  *
Primary Contact First Name:  *
Primary Contact Last Name:  *
Address Line 1:  *
Address Line 2:
City:  *
State/Province:  *
Country:  *
Zip/Postal Code:  *
Type:   Residential    Commercial *
Telephone Number:  *   Ext:
Fax Number:  
E-Mail Address:  *
Verify E-mail:  *
Company Website  *
Options
Subscribe to Vibrant Performance newsletter? Yes No *
The following questions help us learn more abut your business:
How did you find out about Vibrant Performance (select all that are applicable):
Magazine Advertisements Online Advertising
Word of Mouth Discovered our website
Met Vibrant at a tradeshow  
Received a Vibrant Catalog through a Warehouse Distributor  
Received a Vibrant Catalog through a Mailing Service (DCI)  
   
From which master Distributor do you currently purchase performance products (select all that are applicable):
US Master Distributors  
Arrow Speed Warehouse JRP USA
Keystone Automotive Motovicity Distribution
Performance Warehouse Racer's Equipment Warehouse
Southern Performance Vertex Industries
Other:
   
Canadian Master Distributors  
Dix Performance North JRP Canada
Karbelt Speed & Custom Keystone Canada
Lordco Mopac Auto Supply
Robert Thibault Inc.  
Other:
 
Please select which categories of the Vibrant Performance product line you are most interested in (Select all that apply):
Vibrant Competition Components
(Adjustable Timing Belt Tensioner, Aluminum Vacuum Manifold, Vacuum Scavenger, Catch Can, Pneumatic "One Touch", Vaccuum Fittings)
Headers Direct Fit Exhaust Systems
Universal Mufflers Race Mufflers
Resonators Exhaust Tips
High Flow Catalytic Converters Flex Couplings
Other Exhaust Fabrication Components
(U - J Mandrel Bends, Tight Radius U-Bends, S.s. Straight Tubing, Stainless Steel Reducers, Schedule 10 Pips, Turbo Manifold Marge Collectors, Turbo Flanges, Exhaust Flanges, V-Band Flange Kits, Header Flanges, O2 Bungs, Exhaust Hanger Rods, Sleeve Clamps, etc...)
Intercoolers Aluminum Tubing
Silicone Couplings Silicone Vacuum Hose
Hose Clamps Quick Release Boost Brace
Air Intake Kits Air Filters
Mass Air Flow Sensor Adaptors Strut Tower Braces
Engine Accessories Interior Accessories
Ultimate Fiberglass Dashboard / Center Console
 
Please select from the Business Categories that best describes your business and the markets you service (Select all that apply):
Auto / Truck Accessory Center Performance Retailer / Speed Shop
Mobile Electronics Retailer Automotive Parts Store
4x4 / Off-Road Center Automotive Repair Shop
Automotive Glass Shop Automotive Body Shop
New / Used Vehicle Dealership Auto Restoration Shop
Tire / Wheel Center Fabricator / Manufacturer
 
   
Does your business offer on-site Product Installation: Yes No *
Do you offer Custom Fabrication services? Yes No *
How many years have you been in business:  
How many employees do you have:  
 
Do you refer to Consumer oriented publications for new product information: Yes No *

If yes, please list some of the Consumer Magazines that you refer to most regularly:

 
Do you refer to Trade publications for new product information: Yes No *

If yes, please list some of the Trade magazines that you refer to most regularly:

 
Do you visit / contribute to Internet Message Boards Yes No *

If yes, please list all Online message Boards / Forums that you visit most regularly:

 
Do you attend the SEMA Show in Las Vegas: Yes No *
If yes, how regularly do you attend this show:  
Do you attend the PRI Show in Orlando (formerly in Indianapolis): Yes No *
If yes, how regularly do you attend this show:  
 
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