Dealer Registration & Login

Once your application has been approved, an account will be created on our website to provide you with special dealer pricing.

Fill out the form below to start the dealer application process.

* All fields are required.

Company name:
Primary contact:
Email address:
Phone:
Fax:
Primary address:
City, State, Zip:
Website address:
Federal identification number:

Burnstine's Division of Collins & Co.
17880 Commerce Drive
P.O. Box 1009
Bristol, IN 46507
PH: 574/848-1118 (x118)
FAX: 574/848-0177