Application for BeefEater Builder's Resource Group
& Dealer Program
Company Name:
DBA:
First Name:
Last Name:
Title:
Category:
Architects
Building Supply Vendors
Cabinet Makers
Carpenters
Construction Firms
General Contractors
Landscape Architects
Masons
Interior Designers
Outdoor Kitchen Manufacturers
Remodelers
Web-based Organizations
Other
Address 1:
Address 2:
City:
State:
Zip/Postal Code:
Phone #:
Fax #:
Email Address:
Federal Tax ID #:
Reseller Certificate #:
No. of Employees:
1-5
10-20
20-100
100
Date Business Established:
Type of Business:
Corporation
Partnership
Sole Proprietorship
Other
Website:
Preferred Payment Method
(select all that apply):
Credit Card
Company Check
Bank Transfer
Net 30 Terms
Authorized Purchaser #1:
Authorized Purchaser #2:
Authorized Purchaser #3:
Purchase Order Required:
Yes
No
Maybe
Main Authorized Signer:
Title:
How did you hear about us?
Preferred method of communication
(select all that apply):
Email
Phone
Postal Mail
Please provide us with any
additional information:
