Dealer Application – BBI Injectors Direct

Registration

Username*

Email*

Password*

Customer billing address

First Name *

Last Name *

Company *

Address Line1 *

Address Line2

City*

Postal Code *

Select billing country (optional)United States (US)

State / County or state code (optional)

Phone *

Customer shipping address

Copy from billing address

Company *

Address line 1 *

Address line 2 (optional)

City *

Postcode / ZIP *

State / County (optional)

All account holders require approval to be a BBI Dealer. All core charges will be paid for upfront and refunded when accepted cores are returned. Cores are only accepted 30 day from date of sale.