Resellers - George Burnett

Representative

UID*

Is this application following up on a contact made at SEMA?

Yes
No

Type of Account Requested*

Reseller Account
Fleet Account

Reseller Accounts are for resellers of Ruff Tuff Products who collect applicable sales taxes from the end user.
Fleet Accounts are for end users, not resellers, who order ten (10) or more seat covers per year for their own company vehicles.

Type of Reseller Account Requested. (Regardless of type requested, all first orders must be paid by credit card.)*

Credit Card Account (We will contact you directly for card information. We keep all customer credit card information secure.)
Net 30 Accounts (On approved credit - additional information will be required)

Business Information

Business Type*

Corporation
Partnership
Sole Proprietor

Business Name*

Address*

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

Phone*

Email*

Fax

Year Established

Federal Tax ID*

Utah Tax Exempt Number*

If you're applying to be a reseller in Utah, you must send us a paper or electronic copy of your tax-exempt certificate.

Separate Shipping Address?

Yes

Shipping Address

ShippingAddressID*

CustomerID*

Address*

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

Purchasing and Accounts Payable Contacts

Purchasing Agent Name*

Phone*

Accounts Payable Contact Name*

Phone*

A Purchase Order is required with each order

The first order from every new account must be paid by credit card. If you are requesting a Net 30 account, our terms upon approval are as follows. Accounts not paid on time will be charged 1.5% per month on the overdue balance, and future orders will be filled only on a prepaid or credit card basis. Any legal or collection fees will be added to the balance owed.

The information in this application is provided for the purpose of doing business with and/or obtaining credit from Ruff Tuff Products, LLC, and is warranted to be true. I/We agree to pay all charges levied on past due accounts.

I/We accept the Terms and Conditions

Distributor

Resellers – George Burnett

Apply to become a Ruff Tuff Authorized Reseller

Business Information

Shipping Address

Purchasing and Accounts Payable Contacts

A Purchase Order is required with each order