Dealer Update Form - Richardson Saw & Lawn Mower

Customer Update Form

Customer Personal Information

Name of Company*

DBA (If Applicable)

Business Phone*

Business Fax

Address of Business*

Main Purchasing Contact phone*

Extension

Main Purchasing Contact email*

Website

Billing Contact Information

Billing Contact Name*

Billing Contact Phone*

Extension

Billing Fax

Billing Contact Email*

Billing Address (If Different from Business Address)

Preferred Method of Payment*

Paying by credit card there will be a 3% convience fee.

Purchase Orders*

Yes

No

Owner(s) Information

* Each Owner must list separate email from other owners

Name of Owner(s) 1*

Title of Owner(s) 1*

Email of Owner 1*

Name of Owner(s) 2

Title of Owner(s) 2

Email of Owner 2

Authorized signers

Comments

Please be sure to fax over your State Issued Sales Tax Permit Copy after hitting the submit button to 972-783-1047

Signature*

Use your mouse or finger to draw your signature

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Comments

This field is for validation purposes and should be left unchanged.