We are anxious to hear from you if you are currently selling hearth products or are in the HVAC business. You must have a web site, a commercial place of business and no other Leisure Line dealers within a certain distance depending on whether your location is rural or urban. Please complete the form below. Your submission is kept in strictest confidence.

Please note: We accept applications from March 1st through July 31st. If applying outside of that timeframe, we may not review your application until March 1st.

Choose a Username *

Company Name *


First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Country *

Day Phone *

Email *

Business Federal EIN *

Number of Employees *

* - Required field