Become A Dealer
Thank you for your interest in becoming an Authorized Leland's Industries Dealer. In order for us to promptly follow up with your inquiry, please complete the application below and click on submit for further instructions.
*
= Required
Main Location
*
Company Name:
*
DBA Name:
*
First Name:
*
Last Name:
*
Title:
*
Email Address:
*
Business Address:
No PO Boxes
*
City:
*
State:
Please Choose:
outside of USA
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip Code:
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Phone:
*
Fax:
*
How long has your company been in business?
*
How many locations does your company have?
*
Does your company offer products similar to us?
yes
no
Second Location
(optional)
DBA Name:
Business Address:
City:
State:
Please Choose:
outside of USA
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
Phone:
Fax:
Third Location
(optional)
DBA Name:
Business Address:
City:
State:
Please Choose:
outside of USA
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
Phone:
Fax:
For questions or comments please email:
moc.se
irtsudnisdnalel@ofni
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