DEALER Application

Business Contact Information

Title:

Company name:

Phone:

Fax:

E-mail:

Registered company address:

City:

State:

ZIP Code:

Date business commenced:

Sole proprietorship:

Partnership:

Corporation:

Other:

Business and Credit Information

Primary business address:

City:

State:

ZIP Code:

How long at current address?

Type of Dealership (Circle all that apply): Online     Mail-Order     Franchised     Accessories     Service

Telephone:

Fax:

E-mail:

Business/trade references

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Agreement

1.   All invoices are to be paid before the items are shipped.

2.   Claims arising from invoices must be made within seven working days.

3.   By submitting this application, you authorize DC Plastics to make inquiries into the business/trade references that you have supplied.

4.   All orders must be a minimum of $150 or five different items.

Signatures

Title:

Date:

Title:

Date:

Please fill the application out completely and fax or mail it back.

Fax: 989-883-3135

3053 Myers Road

Sebewaing, MI 48759