Pro audio sound and communications dealer network - Electrosales

Dealer Application

This is not an application for credit terms with ELECTROSALES. We request a credit card for all purchases. No COD's please.

$250 minimum opening order. Subsequent orders are minimum $50.

*Please fill out this Sales/Use Tax Exemption Certificate (PDF) and fax it in to us. You will need the
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Please fax the completed certificate to ELECTROSALES - Attn: David at 417-869-6568

Business Name
Contact Name 
Title
Street Address
Address (cont.)
City
State
Zip Code
Country (US only)
Phone
FAX
E-mail

 

SHIPPING ADDRESS (if different)
Street Address
Address (cont.)
City
State
Zip Code
Country (US only)

 

State Sales Tax #

 **

**Resale certificate required

Please list the name and address of the person(s) that should be given access to our online price lists:

Name:             

Email Address:

Choose one of the following options:

Sole Proprietorship
Partnership
Joint Venture
Corporation
Limited Partnership

Choose one of the following options:

Sound Contractor
Music Store
Audio and Video Installer/Supplier
Manufacture
Other

How long in business?

years months

How long at present address?

        years months

Please list the lines you are a factory authorized (direct) dealer for.

Before you click 'Submit' please be sure to fill out the
Sales/Use Tax Exemption Certificate (see above)

 

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