Sherrer Contracting, Inc.

Tailgate Ramp Manufacturing

4500 Erickson Ridge

P.O. Box 270

Elk City, Idaho 83525

208-842-2557 phone

208-842-2543 fax

www.tailgateramps.com

tailgateramp@yahoo.com

 

 

New Distributor Application Request Form

Copy and paste this page into an email to fill out and email in or send this form by fax or regular mail to above address to become a distributor.


 

1. Company Information

Company Name:

 

Address:

 

City, State, Country:

 

Postal or Zip Code:

 

Phone Number:

 

Fax Number:

 

Email Address:

 

Web Site:

 

How Many Years in  Business?

 

Years under present name:

 

Other Brach Locations?

 

 

2. Ownership

Sole Ownership: Partnership: Corporation: 

If Corporation: Give Name, State, Country, Date of Corporation

 

 

3. Key Contacts

President/Owner:

 

Sales/Marketing Manager:

 

Contact Person

 

Telephone number

 

Email

 

 

 

 

 

Company Representative

 

 

 

Copy and paste this page into an email to fill out and email in or send this form by fax or regular mail to above address for a dealership.

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