Reseller Application - Robert Larson Company

Request Reseller Account

"*" indicates required fields

Business Name*

Description of Business*

Products of Interest*

Woodworking

Gardening

Owner, Partners, President*

In Business Since*

Business Structure*

Proprietorship

Partnership

Corporation

Secretary (if corporation)

First Last

Chief Financial Officer (if corporation)*

First Last

State of Incorporation*

Date of Incorporation*

Billing Information

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Purchasing

Contact

First Last

Invoicing

Contact

First Last

Statements

Contact

First Last

Shipment Pre-Advise (with tracking numbers)

Website

This application must be completed by all wholesale accounts. We do offer credit terms, although new accounts wishing to apply for credit must place a $500 minimum opening order and complete our open account form. First orders are always prepaid. There is no minimum for accounts wishing to prepay orders or pay with a credit card. Please complete a ship-to form for any shipping locations you may have other than the billing address on this form. See our Terms of Sale for Reseller Accounts for more details. If these products are shipped within the State of California, sales tax will be charged if a Sellers Permit is not on file. This applies to drop shipments within California made for customers outside of California.

The tools purchased on this account are for resale.*

Please acknowledge the following by checking the box.

I certify that the information on this page is correct and that I agree to the Terms of Sale for Reseller Accounts.

Contact Information

Contact Name*

First Last

Contact Email*

Comments

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