Dealer Application

Contact Information

Company Name *

d/b/a (if applicable)

Contact Name *

Contact E-mail *

Company Website

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Country *

Phone Number *

Business Information

We MUST have a copy of your resale certificate or business license for our records before you can receive dealer pricing. Please fax it to 678-890-8119 or mail it to our office.

Type of Business Entity *

Years in Business *

Annual Gross Sales *

Owner / Corporate Officer *

Title / Position *

Authorized to Purchase? *

Owner / Corporate Officer

Title / Position

Authorized to Purchase?

Owner / Corporate Officer

Title / Position

Authorized to Purchase?

Owner / Corporate Officer

Title / Position

Authorized to Purchase?

Owner / Corporate Officer

Title / Position

Authorized to Purchase?

Would you like your company to be listed as a dealer on our website? *

What services does your business currently offer? (Please check all that apply.) *

What products and/or services from Power Hungry Performance are you interested in providing your customers? (Please check all that apply.) *

Hydra Chips

FICM Programming

ECM Rollbacks/EGR Deletes ECM Rollbacks/EGR Deletes

Business References

Please provide two business references.

Company Name *

Contact Name *

Phone Number *

Annual Purchase Amount *

Company Name *

Contact Name *

Phone Number *

Annual Purchase Amount *

This is an agreement between Power Hungry Performance, Inc. ("Power Hungry Performance") and the Customer whose name and vehicle information appear on this order form. All calibrations generated by Power Hungry Performance are supplied "as is" with no guarantee, either expressed or implied.

Custom calibrations, FICM reprogramming, ECM rollbacks, software, MDFs, shipping, and labor charges are non-refundable. A 20% restocking fee will be charged for any item returned over 30 days and for products that are not returned in brand-new, sellable condition. ALL returns MUST be accompanied by a Return Merchandise Authorization form. The RMA can be found on the Support page on our website. Please contact us to obtain an RMA number; this number MUST be written on the RMA form. NO RETURNS WILL BE ACCEPTED WITHOUT AN AUTHORIZED RMA NUMBER. Refunds over $250 may be paid by check.

We will be happy to address driveability issues within 30 days of receipt of chip or custom calibrations. This does not include changing calibrations to different power levels or modifying calibrations due to new modifications. After 30 days, there will be a charge of $25/tune for stock or lightly modded trucks and $50/tune for heavily modded trucks to cover the time to rewrite your calibration(s). CUSTOMER IS RESPONSIBLE FOR SHIPPING BOTH WAYS ON ALL RETURNS.

It is the responsibility of the Customer to ensure that the mechanical condition of the drivetrain be considered before any attempt to increase the performance output of the vehicle. The Customer accepts responsibility for assessing the mechanical condition of the vehicle prior to and during the use of any Power Hungry Performance product(s). Power Hungry Performance will not be responsible for any damage arising from the use or misuse of any performance product(s) or calibration(s).

BY CHECKING THE BOX BELOW, YOU AGREE TO THE ABOVE NOTICE. YOU ALSO AGREE NOT TO HOLD POWER HUNGRY PERFORMANCE, ITS AGENTS, OR DISTRIBUTORS FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT WITHOUT LIMITATION TO, DAMAGES FOR LOSS OF BUSINESS PROFITS, BUSINESS INTERRUPTION, OR ANY OTHER PECUNIARY LOSS) ARISING FROM THE USE OF OR INABILITY TO USE THE PRODUCT(S) OR VEHICLE.

You must check the box below to confirm that you have read the disclaimer and accept its terms and conditions. *

I have read the disclaimer and accept its terms and conditions.