Replacement Filters for Pall, Parker Hannifin, Baldwin, Fleetguard, Balston, Headline, Wilkerson, Conair, Facet, Ingersoll Rand, Donaldson, Gardner Denver, Refilco, EPE, Argo, Air Refiner, Air Maze, LHA, Bauser, Boss, Finite, Keltec, Stauff, Velcon, Descase, Jonell, Matrix, Clark, Solberg, John Deere, Koganei, Taisei Kogyo, Yamashin, Schroeder, Peco, Torit, Marvel, Champion......etc

PHONE: 800-487-7493

Emai: tonya@filtermart.com

Apply for Distributorship


     
Filter Cross Reference
*    
Wholesaler Retailer End user
 
* Federal ID# (Social Security#).    
* Sales Tax Exempt#    
* Type of Business  
Sole Prop. Partnership Corporation
 
* Telephone#.........    
* Fax #........................    
* Dun & Bradstreet#....    
* Company Name........    
* Email Address...........    
  Web Site Address.....    
* Contact Name...........    
* Business Type...........    
* Area You Cover........    
* Years in Business......    
* Approx. Yearly Sales    
* # of Employees..........    
* Credit Required.........    
* Acct Payable Contact    
* Acct Pay Phone #.....    
* Acct Pay Fax #.........    
         
  Comments...........    
       
       
         
 

    Mailing Address

 
*      
         
 

*     Billing Address

 
*      
         
 

*     Shipping Address

 
*      
         
 

    Trade Reference 1 (no credit cards please)

 
* Included Name, Phone #, and Fax #    
         
 

*     Trade Reference 2 (no credit cards please)

 
* Included Name, Phone #, and Fax #    
         
 

*     Trade Reference 3 (no credit cards please)

 
* Included Name, Phone #, and Fax #    
         
 

*     Bank Reference 

 
  Include Name, Address, Telephone #, Fax #, Account Number, and Bank Officer    
          
         *   =   required fields  
         I/We hereby authorize any and all references given by applicant to answer and reveal any and all credit information, history and details about my/our account to Filter-Mart Corporation.

       Applicant's clicking on the apply button attests acceptance of agreement, financial responsibility, the ability and willingness to pay our invoices in accordance with the following terms and conditions. Terms of payment are Net 30 from date of invoice/shipment of product or service. Interest will be charged at the rate of 1.5% per month on all delinquent accounts. Applicant will be responsible for any attorney fees, court costs and post judgment interest, if default litigation occurs. This agreement shall be enforced in accordance with the laws of the state of Tennessee.

       The above information is for the purpose of obtaining credit and is warranted to be true. I/we hereby understand that the above terms are subject to Filter-Mart Corporation approving your application for credit.

 
          
                                                

 

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