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Dealer Application

Welcome to the SatelliteDish.com Account Application Page. Please use the form below to assist in establishing open account terms. Once your application is approved, you may purchase products at reseller pricing.

Company Name
Address
Phone #
Fax #
  Date Established    MM/DD/YY  

Your Company is a  

      
Federal Tax ID #

Social Security #

E-Mail & Web info

E-Mail Address

      Home Page 

Officers

President Full Name:

Owner(s) Full Name:

Treasurer Full Name:

Buyer Full Name:

Bank References

Bank Name
Address
Phone #
Account #
Date Opened MM/DD/YY

3 Trade References

Name
Address
Phone #
Account #
Date Opened MM/DD/YY
 

 
  Name
Address
Phone #
Account #
Date Opened MM/DD/YY
Name
Address
Phone #
Account #
Date Opened MM/DD/YY

To help us understand your interests and business needs, please complete the Notes below.Company Information:

What type of reseller are you?  What type of products do you sell?

  

When you become an Authorized SatelliteDish.com Dealer, you can add some of today's most advanced and exciting technology to your product mix.  start receiving the benefits of selling world-class technology. Once your application is approved, you may purchase products at reseller pricing.

 

You will also need to SEND or WebFax a BLANKET CERTIFICATE OF RESALE, Signature, &  State Sales Tax Certification Number.