Dealer Application Form

  1. Proprietorship    Partnership    Corporation    Subsidiary
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COMPANY CONTACTS

Business Owner and Key Personnel:

Contact #1

Contact #2

Contact #3

OTHER PRODUCT LINES CARRIED

BUSINESS OPERATIONS

EXPERIENCE:

FINANCIAL INFORMATION

Sales Tax: All orders for materials will have appropriate sales tax in accordance with the rate schedules of purchase location unless Manufacturing Structures receives a copy of your tax exemption certificate to maintain on file. Please check the applicable box below:

    COMMENTS, QUESTIONS OR REQUESTS

    If you have any comments, questions or special requests, please detail them here.

  1. verification image, type it in the box
    (Type verification number)
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