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Dealer Order Form
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Dealer Request Form
Please fill out the form below to apply as a dealer. Once recieved you will be contacted as soon as possible.
Please fill in all
required fields
.
Your name
Your email
Phone number
Company Name
Address
Fax
Trade Reference 1
Trade Reference 2
Trade Reference 3
Bank Reference
Years in Business
How did you hear about us?
Internet search
Recommended by a friend
Positive media review
ADDITIONAL INFORMATION
1. All New customers must fill out customer information form and submit their tax exemption form.
2. First 5 (five) purchase must be paid by cash/money order or bank certified checks, before pick up or delivery time.
3. Once condition 3 has been fulfilled: Company checks maybe accepted thereafter, check info must match the account information of business name and address. There is NO exception. Return or NSF check fee is $30.00. We arrange for pickup and delivery.
4. You may Call 678-772-9443, Fax (404-753-2088) or Email your order (americanmatmfg@yahoo.com) to us.
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Submit
Manufacturing
Mattresses
to the Dealers
Office:
404-753-2089
Cell:
678-772-9443
Fax:
404-753-2088