Customer Application Form / Formulaire D'application Pour Nouveau Client

This application form is for Canadian / US Customers Only. If you are outside the US or Canada, please call us to open an account.

This form is on a secure page. All information sent from this page is encrypted.

Fields marked with an Asterix (*) must be filled in



What type of business do you have?


Prove that your are human, and not some sort of Spam Robot sent from Dr. Evil's Secret Underground Base.


Enter text you see Above:

The dealer application is valid for one year and will be reviewed annually. Splash’n Dirt Accessories keeps the right to close your account if the annual sales rates are insufficient.

(Your IP Address is: 34.229.223.223)

Connect with us

We Provide Worldwide Shipping for powersports parts & Accessories

Copyright ©2024 Splash'n Dirt Powersports Parts and accessories Canada. All Rights Reserved.