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Create A Dealer Application

To become a dealer, you must do the following:

1.       Send a picture of the outside of your store with your sign and the inside of your store with a cash register.
The pictures can be mailed, emailed to info@pitmancreek.com, or sent via MMS/Text Message to info@pitmancreek.com.
Please include your store name when sending the pictures.

2.       Print and fax the following 'Consent Form' to (606) 346-2127
Click here to download

3.       Fax copy of State Sales Tax Certificate to (606) 346-2127
If you're located in KY - Please print and fax the following form to (606) 346-2127
Click here to download

4.       Please complete the Dealer Application
Click here to fill out the dealer application