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Important Note: The information you provide is for preliminary review only and is not considered an application for a dealership. The receipt of this form by HMH Services shall be without obligation on its part. Business Legal Name(required) State of Organization / Incorporation(required) Years in Operation(required) Website(required) Core Business(required) Key Contact(required) Phone(required) Fax(required) Email address(required) Number of Sales Locations(required) Current brand(s) of forklifts or material handling equipment represented(required) Current Sales Territory for brands listed above (State, County)(required)