header1Dealers Info

The Blynd - New Dealer Info

All fields with an * are required.

Company Info

Enter your company name.

Enter your company address.

Enter your company city.

Enter your company state.

Enter your company ZIP code.

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Enter your company billing address.

Enter your company billing city.

Enter your company billing state.

Enter your company billing ZIP code.

Enter the main company phone number.

Enter your company FAX number.

Enter your company website address. Include http://

Include http:// in your URL.

Enter your company Sales Tax ID Number.

Contact Info

Enter the first and last name of your company's primary contact.

Enter the phone number (and extension) of your company's primary contact.

Include extension if applicable.

Enter the cell phone number of your company's primary contact.

Enter the email address for your company's primary contact.

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Enter the name of your company's accounts payable contact.

Enter the phone number (include extension) of your company's accounts payable contact.

Include phone extension if applicable.

Enter the cell phone number of your company's accounts payable contact.

Enter the email address of your company's accounts payable contact.

Select if invoices can be emailed or not.

Enter a note or comment.

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Notice: Sales Territories and Authorized dealers are determined exclusively by Franks Manufacturing. Franks Manufacturing reserves the right to determine dealership status at any time.