Dynamic Product Search

    MDL Dealer Application

    Have you been using our products and wish to become a dealer? We can set up a program to fits your needs:

    To get started we will require several of the following items as proof of the business’s existence.

    Before filling out the form below make sure you have the following information handy:

    • Business license / Reseller’s Certificate,
    • The commercial address of your business,
    • The commercial address location on Google Maps,
    • A credit card that bills to that commercial address and contact info, and
    • Business website and/or Facebook page

    Please use the link below to submit state issued automotive tax resell permit information.

    • Name on the permit must match the company name on file.
    • Follow the instructions to complete.
    • Once submitted, our staff will review and approve.
    • Some states permits do expire and must be renewed.

    Cert Express

    SECTION 1: COMPANY INFORMATION

    Use the button below to submit your state-issued tax exemption certificate via CertExpress.

    Submit via CertExpress

    Please note: Failure to submit your tax exemption certificate through CertExpress may result in delays in your dealer application approval.

    SECTION 2: POINTS OF CONTACT

    Primary Contact

    SECTION 3: REFERENCES (Optional)

    Reference 1

    SECTION 4: ADDITIONAL SUPPORTING DOCUMENTS (Optional)

    Upload any additional documents to support your application (W-9, resale certificates, etc.).

    SECTION 5: AGREEMENT & SIGNATURE

    By signing below, I confirm the information provided is accurate to the best of my knowledge. I understand that this application is subject to review and does not guarantee approval.

    Questions? Email sales@moderndriveline.com