Gate Opener & Access Control Dealer/Wholesale Application

Discount Fence Supply, Inc. 10050 Wellman Road, Streetsboro, OH 44241 Phone: 330-650-9226 Fax: 330-650-9004

Gate Opener & Access Control Dealer/Wholesale Application

First Name: ____________________________ Last Name: ____________________________ Company Name: __________________________________________________________________________ Business Type: ____ LLP ____ LLC ____ Partnership ____ Corporation Address: ___________________________ City: ______________ State: ________ Zip: _____________ Business Phone: _______________________________ Fax: _____________________________________ Email: ___________________________________________________________________________________ Website: _________________________________________________________________________________ Year Started Business: ____________________ Federal Tax Id: _________________________________

Trade Reference One: Company Name: ______________________________________________________________ Address: _____________________________________________________________________ Phone: ____________________________________ Fax: _____________________________ Trade Reference Two: Company Name: ______________________________________________________________ Address: _____________________________________________________________________ Phone: ____________________________________ Fax: _____________________________

1 Mail To: 10050 Wellman Road, Streetsboro, OH 44241

Discount Fence Supply, Inc. 10050 Wellman Road, Streetsboro, OH 44241 Phone: 330-650-9226 Fax: 330-650-9004

Gate Opener & Access Control Dealer/Wholesale Application

How Will You Be Ordering: Stocking Product: _____ Ordering Bulk Orders: _____ Ordering Per Job Basis:

Dealer Benefits ? Dealer Pricing (Buy Wholesale ?> Sell Retail ?> Keep the Profits) ? End to End Customer Support ? Product Literature & Product Information ? Referral Program for your designated area

Terms & Conditions Discount Fence Supply, Inc. understands the importance of price stability to dealers making bids. However, due to the volatile nature of this rapidly growing market, please be aware that we reserve the right to make price changes at any time without notice. Company checks have a ten day hold on all unapproved accounts. All returned checks are subject to a $25.00 service charge. Discount Fence Supply, Inc. accepts no responsibility in the event of any property damage or injury that may occur to users of the product or installers of the product.

I hereby acknowledge that I have read, understand, and agree to the Discount Fence Supply, Inc. Dealer terms and conditions as set forth above. Signature: _____________________________________ Date: ___________________ Name (Please Print): ______________________________________________________

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