PRODUCTS WHOLESALE MORE INFO     
 

 

WHOLESALE CUSTOMERS

This Application may be submitted electronically, or you may download and complete the PDF and then fax it to (877) 469-3625. Note: The characters ' and " will be ignored if entered into this form.

 

BILLING ADDRESS
Company
Tax ID #
Address
City
State
Postal Code
Country
   
Phone Number:
Fax Number:
   
   
In accordance with our Contract Contract Review requirements we ask that the following statement of our Terms and Conditions be acknowledged with the signature or email submission by an authorized staff member.

This usually means a Purchasing Manager who can authorize terms on a purchase order, or a member of your accounting staff who issues payments. By submitting this acknowledgement you accept an understanding of our standard terms and conditions, and indicate your willingness to meet them, including payment terms.  We do not offer extended payment terms, and we are not in a position to negotiate these terms. Please submit this completed form, unaltered and completed, in order to establish your account. We require this form in order to open the account as requested, and we do require three additional credit references.

By confirming our Taxpayer Id # we are acknowledging that we have read and agree to the above terms and conditions:
Taxpayer Id #

 
Authorizing Person
Primary Contact
E-Mail Address
will be used to send you login information
   
Trade References
Company
Address
Contact
Phone
   
Company
Address
Contact
Phone
   
Company
Address
Contact
Phone
   
SHIPPING ADDRESS
Address
City
State
Postal Code
Country
   
Phone Number:
   

By submitting this acknowledgement you allow us to check your credit history; and accept an understanding of our standard terms and conditions, and indicate your willingness to meet them, including payment terms.

 

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