Become a Dealer

Become a Dealer

Bison Pumps is always looking to expand our dealer network by adding companies that are ethical, reliable and technical.

Expand your products and services by offering Bison Pumps. To submit your dealer application, please complete and submit our dealer application form.

Dealer Application Requirements

Professional water well and pump knowledge is necessary. Business examples that fall into this category are well drillers, pump installers, plumbers, other water professionals or preparedness companies.
No wholesale distribution. Retail level only.

Apply To Become A Dealer

Apply To Become A Dealer

Company Information

Business Name

Country

Federal Tax ID

Federal Tax ID

Tax File Number (TFN)

Tax Identification Number

Street Address

Suite/Apt

Select State

Select State/Territory

Select Province

Other Location

City

Zip/Postal Code

Owner / Authorized Representative Name

Owner / Authorized Representative Name

First

First

Last

Last

Title

Phone

Phone

Phone

Email

Website/URL

Nature of Business (products sold)

Estimated Annual Purchase

$

Business Classification

Sole Proprietorship

Partnership

Corporation

LLC

Type of Business

Well Driller

Pump Installer

Other

Credit Terms Needed

Yes

No

Additional Notes

Sales Team Member (primary contact for our sales team)

Name

Name

First

First

Last

Last

Title

Phone

Phone

Phone

Email

Accounting Team Member (primary contact for our accounting team)

Name

Name

First

First

Last

Last

Title

Phone

Phone

Phone

Email

Same Address as Above?

Yes

No

Street Address

Suite/Apt

Select State

Select State/Territory

Select Province

Other Location

City

Zip/Postal Code

Authorized Company Representative Signature

Enter your name to attest that you are authorized to submit this application on behalf of your business.

If you are human, leave this field blank.