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WHOLESALE ACCOUNT

BILLING INFORMATION

BILLING INFORMATION

SHIPPING INFORMATION

SHIPPING INFORMATION

FREIGHT TERMS

FREIGHT TERMS

COMPANY INFORMATION

COMPANY INFORMATION

  • BASIC INFORMATION
  • BILLING INFORMATION
  • SHIPPING INFORMATION
  • FREIGHT TERMS
  • COMPANY INFORMATION

BASIC INFORMATION

First Name

Last Name

Company Name

Email Address

Phone Number

Fax Number

BILLING INFORMATION

Address 1

Address 2

City

State

Zip Code

SHIPPING INFORMATION

Address 1

Address 2

City

State

Zip Code

Shipping Contact(if different from main contact)

Email Address

Phone Number

FREIGHT TERMS

Account#

Account#

COMPANY INFORMATION

Company Web site(URL)

Annual Gross Sales

Types Of Store

Type of Sales

Years in business

Tell us about your company

What other products and brands do you carry?

If you operate an online store, provide URL(s)

Do you plan to sell Crane products on other Web sites? If so, please list all URLs.

Number of brick and mortar stores

ADDITIONAL INFORMATION

Which of our products are you interested in selling?

Do you currently sell other competing products?

How did you hear about Crane?

Comments

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