Dealer Application Dealer Information Owner Information Veteran (Y/N)YesNo Buyer's Information Retail Information State / TerritoryAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColombiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Range Onsite (Y/N)YesNo VIP (Y/N)YesNo Training Onsite (Y/N)YesNo In-Store Sales Total Current FY (est.) - Sales Volume - $ * Total Current FY (est.) Sales Volume - Units * Staccato Current FY (est.) - Sales Volume - $ * Staccato Current FY (est.) Sales Volume - Units * Total Expected Next FY – Sales Volume - $ * Total Expected Next FY – Sales Volume - Units * Expected Staccato Next FY – Sales Volume - $ * Expected Staccato Next FY – Sales Volume - Units * Online Sales Total Current FY (est.) - Sales Volume - $ * Total Current FY (est.) Sales Volume - Units * Staccato Current FY (est.) - Sales Volume - $ * Staccato Current FY (est.) Sales Volume - Units * Total Expected Next FY – Sales Volume - $ * Total Expected Next FY – Sales Volume - Units * Expected Staccato Next FY – Sales Volume - $ * Expected Staccato Next FY – Sales Volume - Units * Additional Information Please attach the following images to this application. If you do not include images, your application will not be considered. Picture of Store Front Up to 3 pictures of the inside of the store that best describes your business Pictures of range/classrooms or training area if applicable Storefront Image * Interior Image 1 * Interior Image 2 * Interior Image 3 Range/Classrooms or Training Area Submit