Reseller Application Form Page 2
ADVERTISEMENT
1
2FOOD MACHINERY, INC.
3131 SOUTH CANAL STREET, CHICAGO, IL 60616
TEL: 773.376.0800 FAX: 773.376.2010 TOLL-FREE: 800.836.5756 EMAIL: sales@ameagle.biz
TRADE REFERENCE INFORMATION
DATE:
TO: AMERICAN EAGLE FOOD MACHINERY: For the purpose of establishing an account and obtaining merchandise from
you the following statement in writing is made intending that you should rely on same as correct
.
DBA:
NAME OF BUSINESS
TYPE OF BUSINESS:
PARTNERSHIP (
)
PROPRIETORSHIP (
)
CORPORATION (
)
ADDRESS
STREET
CITY
STATE
ZIP CODE
PHONE NUMBER
CONTACT PERSON
FAX NUMBER
RESALE TAX PERMIT NUMBER
EMAIL ADDRESS
LINE OF BUSINESS
COMPANY
AT PRESENT LOCATION SINCE (DATE)
PROPERTY
OWN
LEASE BY
PRINCIPALS
UNDER PRESENT OWNERSHIP SINCE
AREA SERVED
FEDERALTAX ID
TRADE REFERENCES
PLEASE PROVIDE: COMPANY NAME / CONTACT PERSON / TITLE / E-MAIL / PHONE / COMPLETE ADDRESS
1.)
2.)
3.)
4.)
5.)
We give authorization to our trade references to provide general information on our company and historical trading experiences.
SIGNED
DATE
PRINTED NAME
TITLE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business