Dealer Application | Enhance Mobility

Assessment Factors

Complete the dealer application including the Statement of Accuracy, Personal Guarantee, and MAP Agreement.
Attach a copy of your business license and resale permit (if applicable).

When all required documentation is received, a representative from the Enhance Mobility team will contact you.

If application is approved you will receive our Credit Card authorization form, which is to be completed and submitted in order to finalize New Dealer status

Account

Username *

Password * Please use upper and lower case letters and numbers.

Confirm Password *

Business Information

Legal Business Name *

DBA (Doing Business As)

Federal Tax ID

Owner

Business Type (Corp, LLC, Partnership, etc)

Date Business was founded

President

Authorized Purchasers

Contact Information

Website

Business Phone

Email Address *

Cellphone

Local Information

Shipping/Billing Addres (No PO Boxes Please)

City

ZIP

State

Trade Reference

Name

Phone

Account Number

Term

Credit Limit

Name

Phone

Account Number

Term

Credit Limit

Statement Accuracy

I hereby certify the information contained herein is complete and accurate.

Authorized Signature *

I hereby personally guarantee any and all credit extended to my company. I will be personally responsible and liable for all balances due, including costs of collections, should that become necessary.

Signature *

Minimum Advertised Price (MAP) Agreement

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As an approved reseller of products exclusively distributed by Enhance Mobility, the undersigned agrees not to advertise any products distributed by Enhance Mobility below the stated minimum advertised price (MAP) provided in our published dealer price list. Enhance Mobility Inc. at its sole discretion, without notice and from time to time, may add or delete products to the list of products subject to this MAP policy and may change the minimum advertised prices for such listed products.

This agreement applies to the undersigned’s advertised prices in newspapers or catalog print, direct mail pieces, faxes, radio, television or on the internet. This policy does not affect the price at which the undersigned may sell an applicable product exclusively distributed by Enhance Mobility Inc.

If the undersigned advertises products exclusively distributed by Enhance Mobility below the stated MAP, Enhance Mobility Inc. will be entitled to all of its rights and remedies available to it, including, without limitation, the right to disqualify the undersigned from receiving discounts and benefits, as well as the right to sell any products exclusively distributed by Enhance Mobility.

Date

Signature

Company

Printed Name

Dealer Policy Agreement

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Enhance Mobility reserves the right to refuse approval of any application for any reason included but not limited to:

Inability to provide proof of a live website that is actively and successfully selling related product (Minimum annual sales volume of $50,000) Applicable to Online Dealers only.
Failure to provide proof of a relevant location in which product can be sold and displayed. Applicable to Storefront Dealers only.
Limited/ no background in Durable Medical Equipment.
Failure to present business tax ID and resale permit (if applicable). **As of August 2023, Enhance Mobility will no longer be accepting new applications for Online Only Dealers. All new dealers must be able to provide proof of a physical storefront, prior to submitting Dealer Application.

Dealers must receive approval before going 'live' with any product listings for Enhance Mobility on the internet. All Enhance Mobility listings must be up to date and accurate with current model and product description. Enhance Mobility adheres strict to MAP Policy out of fairness to all dealers. Non-compliance or frequent violation of MAP Policy may result in termination of Dealer status. Enhance Mobility offers warranties on product that are not to be altered or published in any other way than what is offered by the manufacturer.

EM policy can be verified on www.enhancemobility.com . Misrepresenting Enhance Mobility's warranty or extending manufacturer's product warranty is considered a violation and will result in the suspension and/ or termination of Dealer Status. To be featured on Enhance Mobility's Local Dealer locator, Authorized dealers with a storefront are required to initially purchase and maintain a demo unit at advertised location. Dealers that also service Durable Medical Equipment at their location must initially purchase a demo unit or sell product directly to customer before having access to parts and/or accessories at Dealer cost.

I have Read and Agree to adhere to Enhance Mobility Dealer Policy Agreement

Authorized Signature *