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PLEASE RUSH MY ORDER!

P.O. Box 1840
Jasper, GA 30143
Phone: 706.692.0214
Fax: 706.692.4079
Email: sales@TrophyLineUSA.com
www.TrophyLineUSA.com

 

DEALER APPLICATION
All information will be kept in confidence and used only in determining your qualifications for establishing the terms of future business transactions with TrophyLine, LLC.  All reference inquiries are sent by mail.  Please allow 3 weeks for processing.  Immediate shipments can be processed by C.O.D., cash or credit card.
Name of Firm:
Billing Address:
Phone: Fax:
Shipping Address:

City: State: Zip:
Phone: Fax: Email:
Type of Ownership:

Proprietorship

Partnership

Corporation
Yrs. in Business:     Employees Full Time:  Employees Part Time: 
 Type of Sales: Retail Wholesale Mail Order Online
Annual Gross Sales: Tax ID:
*Please Attach Sales Tax Exemption Certificate

NAME OF OWNERS, PARTNERS, OR OFFICERS
Name: Title:
 Phone: Email:
Home Address:
City: State: Zip:
Name: Title:
 Phone: Email:
Home Address:
City: State: Zip:

CREDIT REFERENCES

BANK
Name
Contacts:
Address:
Phone:

VENDOR REFERENCE
Name
Contacts:
Address:
Phone:

VENDOR REFERENCE
Name
Contacts:
Address:
Phone:
TERMS REQUESTED:

C.O.D.

Cash/Check No.
Credit Card Type:
Credit Card No: Exp:

 /  

PERSONAL GUARANTEE

I hereby agree to pay to TrophyLine, LLC. All indebtedness now or hereafter owing by me to said company, whether individually, partnership or corporation. In consideration of TrophyLine, LLC, the undersigned does hereby individually and personally guarantee to TrophyLine, LLC. the sum or sums of money as may at anytime hereafter become due to Trophyline, LLC, from the said applicant for goods sold to the applicant whether said indebtedness be in the form of notes or bills. If it becomes necessary to enforce this guarantee, I agree to pay late fees, interest and attorney fees as allowed by law.

 

Date: ____________________                       

  

Signature of Owner:  ________________________________
 

Date: ____________________                      

  

Signature of Owner:  ________________________________

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