Thank you for your interest in becoming an Interstate producer. If you kindly provide us with the information requested below, we will be glad to respond to your needs.

Producer Application

Name of Dealership Street Address City State Zip Contact Name Title Telephone Number Fax Number E-mail Address Dealer Type  Auto  RV  Motorcycle  Marine  Others Are you currently Selling Service Contracts? Yes   No If Yes… Please indicate the name of your current provider. Please indicate the name of your current sales representative. Please indicate the telephone number of your current sales representative. Please indicate the number of contracts sold each month.  New    Used If No… Please indicate the number of vehicles you sell each month.  New  Used