AVR_Applications_and


		Dual R.A. Request Form



To apply as a new dealer with AVR, please select an application (Credit Card/Cash or e-Check/COD) and follow the accompanying instructions. Submit all necessary paperwork, including a Sales and Use Tax Form selected below, and return all to AVR via fax to 770-792-6264, or by mail. Please feel free to call us at 770-419-2150 or 877-287-5100 for assistance.

	Please Select One (Required):	Please Select One (Required):
	• Credit Card / Cash Application	• Georgia Sales & Use Tax Form
	• Credit Card / Cash Customer Instructions	• North Carolina Sales & Use Tax Form
	or	• Multijurisdiction Sales & Use Tax Form (other states)
	• e-Check/COD Application
	• e-Check/COD Customer Instructions

AVR Distributing * 4062 Kingston Court, Marietta, GA 30067