Distributor Application

SJE Rhombus is a manufacturer who sells to authorized distributors who have supplied a resale certificate. If you would like to be qualified as an authorized distributor, please complete the application form listed below and forward a resale certificate to SJE Rhombus. A SJE Rhombus Customer Service Representative will process this application and contact you regarding volume pricing discounts available. If you would rather fax this form to us please print, complete and fax it to 218-847-4617. We look forward to working with you!

This form must be completed in English.








(xxx) xxx-xxxx
(xxx) xxx-xxxx



YESNO








Applying for a credit card account?

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Fill out this section only if the type of credit you are requesting is an Open Account or Prepayment

Please provide bank refefrences:







(xxx) xxx-xxxx
(xxx) xxx-xxxx


Please provide trade references: (All three reference must be entered to complete this application)



Reference #1






(xxx) xxx-xxxx
(xxx) xxx-xxxx

Reference #2






(xxx) xxx-xxxx
(xxx) xxx-xxxx

Reference #3






(xxx) xxx-xxxx
(xxx) xxx-xxxx


Ship to Address:

(for products that need to be shipped to a location different than the billing address provided above)



(xxx) xxx-xxxx




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