SHAVER OUTDOOR
WOOD FURNACES |
Weld Rite Inc.
328 Hwy 62 West
Salem, Arkansas 72576
Dealer Assistance Office: 828-683-0025 |
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We must receive
all of the following from your company to Qualify for Dealer pricing:
1) A completed Dealer Application.
2) Copy of business or resale license.
3) Arkansas dealers must fill out Resale Tax Form and fax current copy of tax permit.
4) A photograph of your business faxed or e-mailed to us.
5) A copy of your yellow pages ad or copy of a business card. |
Payment Terms:
Weld Rite Inc. does not offer open account terms.
Payments must be made via: Credit Card (3% surcharge); Wire
Transfer; Cashier Check; or Money Order before delivery. |
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SHAVER
Dealer Application |
GENERAL INFORMATION
Business Trade Name (if a DBA)
Business Legal Name (as it appears on business license)
Complete
Business Address: Street
City State Zip
Code
/
Business Phone FAX Number
Billing Address (if different):
Street
City State Zip
Code
Shipping Address (if different):
Street
City State Zip
Code
Officer/Owner Name Title
Officer Two/Co-Owner Name Title
DESCRIPTION OF BUSINESS
This company is a (Check one)
Sole Proprietorship
Partnership
Corporation
Are You a franchise dealer for a major
manufacturer (any business)?
If so, what manufacturers
Incorporated in the State
of
Length of time operating under the above
name:
YEARS
Length of time at the above address:
YEARS
Number of Branches/outlets operated/managed
by you:
Website Address
E-Mail Address
INDUSTRY REFERENCES
(Must be suppliers that are actively distributing related
industry parts to your business in the past 12 months; preferably in
the U.S.A.- any industry))
Business Name, Address, City, State, Zip
Phone
#
Fax
#
Account
#
Business Name, Address, City, State, Zip
Phone
#
Fax
#
Account
#
Business Name, Address, City, State, Zip
Phone
# Fax
#
Account
#
TAX EXEMPTION INFORMATION
(ARKANSAS
DEALERS ONLY)
COPY OF CERTIFICATE MUST BE
FAXED TO (870) 895-3111
Exemption Claimed (MUST select
one)
Resale
Federal Government
Exempt Organization
State and Local Government
Other
Product or Service Rendered:
General Description of products to be purchased
by the seller:
Certificate ID Number:
Name and Title of Applicant:
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