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BECOME A DEALER
Download PDF
Dealer Application
 
Company's Legal Name  
DBA  
Date Business Started :  
In Which State :  
Type of Ownership :  
State Tax Resale Number:  
From which State :  
Brief Description of Your Business  


Buyer’s First Name: *  
Last Name :*  
Business Address:  
City :  
State :  
Zip :  
Country :  
Phone :  
Fax :  
Email Address :  
Password :
Re-Password :
Contact For Account Payable:  
Preferred Method of Payment:  
Store Front? :   Yes
Website :   Yes      URL :
What type of business?   Wholesale      Contractor   
 
OWNERSHIP INFORMATION :
     
1) Title : *  
First Name :*  
Middle Name :  
Last Name :  
Street Address :  
City :  
State :  
Zip :  
Phone :  
Email Address :  

By entering your name, title and date, you acknowledge that your company is interested in becoming and authorized dealer/distributor, and understand and accept Dealer/Distributor requirements and payment terms.
Trade References :
1. Name Address City/State Phone Fax
2.
3.
4.
5.
           
Should all billings go to the address on the application?
Yes  No If no, please explain
To whom and to which location should all leads be sent?
What is your effective territorial marketing limits (in terms of states, cities, miles and/or zip codes)?
This territory is catered by  
Direct Mail Media Advertising
Salesperson Catalog
Other
Buyer agrees to be bound by terms and conditions of sales set forth by TOV IMPORTS. A finance charge of 2% per month will be charged to past due accounts not paid within terms plus any collection costs including attorney fees.
I certify that all information on this application is true and accurate.
Print Full Name Signature Date
     
 
Download PDF
 
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