new account request application - colorado timberline · new account request application please...
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New Account Request ApplicationPlease complete the application and return to:[email protected] fax to 303.455.2875
Date: _______
Company Name: ____________________________________________________________
Contact: _______________________ Phone: __________________ Email: __________________________
Address: ______________________________ City: _____________________ State: ____ Zip: ________
Number of Locations: _______ Number of Salespeople: _______
FEFederal ID #: ___________________
State Resale #: ____________________
ASI #: _________________
PPAI #: ________________
SAGE #: _______________
Credit Card #: ___________________________ Name on Card: ____________________________________
Exp. Date: ________ CVC Code: ________
*Note: Please attach a copy of Fed ID or State Resale certificate.
Requests are usually handled within 48 hours. Approval will be emailed to you with an account login ID and password to allow you to place orders and see product availability and pricing.