MagnaFlow Dealer Referral Application
Only MagnaFlow Preferred Dealers
Receive Referrals From
TV, Print and Web Advertising.

If you would like to be listed on the MagnaFlow website as a MagnaFlow Preferred Dealer, please fill out the form below.
*Contact Name
*Company Name
*Address
*City
*European Country	Select From the List Below Albania Andorra Austria Belarus Belgium Bosnia Herzegovina Bulgaria Croatia Czech Republic Czechoslovakia Denmark England Estonia Finland France Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Netherlands Norway Poland Portugal Romania Russia Slovakia Slovenia Spain Sweden Switzerland Turkey Turkmenistan Ukraine United Kingdom -------------------
*State/Province
*Zip/Postal Code
*Telephone Number
Fax Number
*E-Mail Address
Website Address
*Shop Hours
*Services Offered
*Credit Cards Accepted	Visa  Mastercard  AMEX  Discover  ATM/Debit
*You're buying MagnaFlow from:
Your MagnaFlow Sales Rep is:

CHOOSE YOUR BANNER Create an unique look to your page. Choose one of our banners. Click HERE to view your options. Or scroll down and add a photo of your shop.
Mario Andretti		American Muscle
Ivan "Ironman" Stewart		Trucks
MagnaFlow Girls		Sport Compact
American Muscle		Hot Rods
American Muscle		Trucks
Trucks, American, Sport		Trucks, American, Sport

Or Add A Photo of Your Shop:

*These fields are required

If you have any questions please email your questions here. Returning this form grants permission to use your information and photos on the www.magnaflow.com website. All applications are subject to review. Car Sound Exhaust/MagnaFlow reserves the right to decliine any applications.

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