Dealer Application

Primary Contact Information


Secondary Contact, if applicable


Business Information

Note: Dealers wishing to sell the EDEA product line online must complete the Skates U.S. Authorized Internet Sales Application for authorization.
Business Type(Required)

Kind of Business(Required)

Dealership Type(Required)
Do you sell products online?(Required)
Company Address(Required)
Shipping Address (if different from above)
Other Address
Other Address Type

Please list several major brands you are a direct dealer for.


Contact Name(Required)
Contact Name(Required)