HOME         Trims-Things.com Dealer Registration Form     Print this page.
PO.Box: 453, Emmaus Pa 18049 
Fax: 1-610-706-0619     Register By Phone: 888-771-0618
Please type or print!
 Date:
 Phone: (     )
   
INSTRUCTIONS:
Complete All Fields of Registration:
Enter Dealer Location:
Enter Business Information:
ENTER FAX# for Approved Reply:		 Dealer Approved/Verification: ____________________________________
Dealer Region:
 
N S E W NE SE NW SW MW
 Discount Applicable: (circle)

Y   N   BULK
  
Contact Name: OFFICE Use Only:
Business Name: Dealer Assigned ID#:
Business Address: Business Website Address: http://
City:  
State: Zip: Code: Other:
Tax ID Number/SSN:  
Your Email Address:   [  ] Request for Dealer Image CD:
Evening Phone Number: FAX Number:
All Dealer Orders Will Require Payment In Full.
Money orders and checks may be mailed to the address above.
* Give us a brief description of your business...




Give us an estimate on the U.S. dollar amount you expect to order on a monthly basis from Trims-Things.com, and on which products do you see this geared towards.





Dealer Wholesale Discount Structure.
Discounts are applied on orders received during each business day.
$1.00 to 200.00 = 10% Discount
$201.00 to 500.00 =15% Discount
$500.00 and up =20% Discount

Print Registration Form, Complete Order form section if order is requested at this time, and fax to
610-706-0619 for FAST Service. We will verify your Dealer Registration and Order with you via Fax.

Thank You for Visiting Trims-Things Wholesale Supply Outlet

Description Price per
Item		 Quantity Shipping
 Total
           
           
           
 

Total Amount of Order

  
 

PA State Sales Tax 6.0%

 
 

Total Enclosed

 

START SAVING NOW! --- >>> Check here to request Frequent Buyer Dicount ID: [  ]

Thank you for your Request for a Quote! We appreciate your business. - trims-things.com

Copyright 2001 Millennium Internet Development - Patricia Greene, www.Midco2000.com