New StrongPoles Dealer Application

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Main Company Contact

First

Last

Company Name

DBA (if applicable)

Tax ID

Texas Sales Tax Number

Please email your Texas resale tax certificate separately to jean@strongpoles.com.

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone Number

Company Fax Number

Company Email Address

Company Website URL

Texas Sales Tax #

Note: Copy of Texas Resale Certificate Mad Out to Strong Poles Required for all Texas Dealers

Company Entity Type

Sole Proprietor
Partnership
LLC
Corp

Company Ship To Address

Address Line 1

Address Line 2

City

State

Zip Code

Note: Industry References (Minimum of 3)

Reference Name - 1

Reference Contact

Reference Phone Number

Reference Email Address

Reference Name - 2

Reference Contact

Reference Phone Number

Reference Email Address

Reference Name - 3

Reference Contact

Reference Phone Number

Reference Email Address

Digital Signature

Legally binding digital agreement

Date

Username

What username and password would you like?

Password

Password Must Contain at least 8 letters including 1 capital letter, at least 1 number and at least 1 symbol.

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85267

Proudly Made in the USA

844-669-3537

Product Catalog

Dealer Application

Toll Free: (844) 669-3537

Outside The US: (903) 498-0980

Fax: (844) 319-3025

Email: sales@strongpoles.com