DUAL SHEAR FACE MOUNT STYLE HINGES ARE BACK IN STOCK

Dealer Application Form

Please use the print feature on the above right to fill out this form. You may then scan and email it to us or mail it.

DEALER APPLICATION FORM

Alloy Machine,  DBA - Competition 4x4      118 West 500 South        Spanish Fork, UT 84660        801-798-8403        Sales@Comp4x4.com

 

BUSINESS GENERAL INFORMATION:

Company Legal Name:__________________________________________________________

DBA: __________________________ Phone: (____)________________

Fax: (____)________________

Billing Address:________________________________________________________________

City: _________________________________________ State: _________ Zip: ____________

E-Mail Address: ____________________________ Web Site: _________________________

 

Shipping Address: __________________________________________

City: _________________________________________ State: _________

Zip: ____________

 

Type of Business: (circle one)

  • Corporation
  • Partnership
  • Sole Proprietorship
  • Other________  

Date Business Commenced: _________________

Years at Present Location: _____________

Federal Tax ID #: ____________________________  

Resale #: ______________________

 

OWNER/OFFICER INFORMATION:

Name: ______________________ Title: ______________ Phone: (____)________________

Address: __________________________________

 

Name: ______________________ Title: ______________ Phone: (____)________________

Address: __________________________________

 

Name: ______________________ Title: ______________ Phone: (____)________________

Address: __________________________________

 

CREDIT TERMS:

Currently Competition 4x4 is only offering NET 30 credit terms to well established dealers who purchase in large quantities.

 

BUSINESS LICENSE:

In order to show you are an established business that is authorized to legally conduct business in your city or state, we ask that you send a copy of your current business license.

Kindly scan and e-mail a copy of your license as soon as possible. This will only be done at the time of account setup and is not required each year.

 

Upon the receipt and acceptance by Competition 4x4, this Dealer Application will serve as a binding contract between the Applicant and Competition 4x4. By the submission of this application, the Applicant agrees to the terms and conditions found on the Competition 4x4 website located directly at: http://www.comp4x4.com/dealer-agreement-form.html

 

SIGNATURE MUST BE EXECUTED IN ORDER TO PROCESS APPLICATION

 

Signed: _____________________ Owner Date: ________________

Signed: _____________________ Authorized Buyer Date: ________________

Signed: _____________________ Title: _________________ Date: ________________

 

Once your application is complete, you may submit it via the following methods:

E-Mail to: Dealer@Comp4x4.com

You can use the print option then scan and e-mail the document

You may also request a PDF file for download or a WORD document

Or

Mail to : Competition 4x4

                Attn: New Dealer Application

                118 W. 500 S.

                Spanish Fork, UT 84660

 

 

CREDIT CARD AUTHORIZATION FORM

***NOT REQUIRED***

 

 Please print legibly to ensure timely process. Required field with **

 

Store Name: _______________________________ State: ______________

**Cardholder’s Name: ____________________________________

ô€€€Master Card ô€€€VISA ô€€€American Express ô€€€ Discover

**Card Number: ______- ______- ______- ______ **Expiration Date: _____/_____

**Security Code: __________

(VISA & MC: last three digits printed on the signature panel) (AMEX: printed above the card #)

 

** Card Issuing Bank Phone No: ( ______ ) _______ - _______

(Phone Number is printed on the back of card)

 

Billing Address (Where you receive your credit card statement):

**Street: _______________________________________________________________

City: ___________________________ State: ___________ **Zip Code: ___________

 

ô€€€Please check here if you would like this authorization to be effective on future orders

 

Authorization: I authorize Competition 4x4 to charge my card for order(s)/invoice(s). I agree to pay the credit card charge(s) in accordance with the Card Issuer Agreement. I understand that there would be delay of shipment if the card declines or otherwise incurred difficulty during processing. Note: The signer of this statement MUST be the named cardholder.

 

**Signature: ___________________________ **Date: ______/______/______

 

 

 

***UTAH DEALERS ONLY***

 

In compliance with sales and use tax laws, it is necessary that we have a signed

Sales Tax Exemption Form on our file as well as a copy of your actual Sales Tax License.

 

Kindly scan and e-mail a copy of your license as soon as possible. Otherwise, we will charge sales tax on all orders if we do not have a copy of a Seller’s Permit on file.

Thank you for your kind cooperation and prompt response. Kindly e-mail it to:

Dealer@Comp4x4.com

 

A current Utah Sales Tax Exemption Form can be found online at: http://tax.utah.gov/forms/current/tc-721.pdf