Dealer Application Form

1. COMPANY NAME:
2. COMPANY LOCATION: Select a State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
3. Proprietorship    Partnership    Corporation    Subsidiary
4.  
5.  
6. CONTACT PERSON:
7. STREET ADDRESS:
8. MAILING ADDRESS:
9. BUSINESS PHONE:
10. MOBILE PHONE:
11. FAX:
12. EMAIL:

COMPANY CONTACTS

Business Owner and Key Personnel:

Contact #1

1. FIRST AND LAST NAME:
2. TITLE:
3. # of YEARS:

Contact #2

1. FIRST AND LAST NAME:
2. TITLE:
3. # of YEARS:

Contact #3

1. FIRST AND LAST NAME:
2. TITLE:
3. # of YEARS:

OTHER PRODUCT LINES CARRIED

BUSINESS OPERATIONS

1. Hours of operation:
2. Years in operation:
3. Gross Sales Volume prior year:
4. Gross Sales Volume in Metal Buildings Prior Year:

EXPERIENCE:

1. Number of years in business? Select # of years 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
2. In metal buildings?
3. Number of metal bldgs sold last year?
4. Material purchased from current supplier?
5. Last year's construction volume?
6. Anticipated volume this year?

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:

1. Sales Tax Resale #

COMMENTS, QUESTIONS OR REQUESTS

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

1. Comments:
2. Verify #:
   
   (Type verification number)
3.  

By submitting, you agree Elephant Barns may contact you about your inquiry by phone, text, or email. We give your details only to the contractor who prices, delivers, or builds your structure, and we never sell or share your contact details. See our Privacy Policy.