Welcome! If you would like to become a new dealer for ESR, please fill out the following form and fax to Chris Swimley at: 415-499-9444

Your form will be reviewed and qualified. You will then be contacted by the ESR Territory Manager that supervises your geographic area to discuss the information with you.

NOTE: Completing the form below does not result in immediate account activation. Account activation can only occur after approval of the Prospective Dealer Information Form and the conversation with your Territory Manager.

If you have any questions about this procedure, please contact Karina Herrera at 877-785-7666

ESR Prospective Dealer Information Form