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Who is your Sales Rep:
---Steve HilgenbergDarren BeschMark MachnickiMatt ThraneOther -
How did you hear about our company?
Type of Business:
CCA GlobalNFADistributorFlooring StoreTrades (Contractor; Builder or Remodeler)Other
Business Legal Name: (required)
Phone Number: (required)
Mailing Address: (required)
City, State, Zip Code: (required)
Your Email: (required)
OWNER(S)/ PARTNERS/ OFFICERS
Owners Name: (required)
Residence Mailing Address: (required)
Owners Phone Number: (required)
SHIPPING ADDRESS (IF DIFFERENT FROM MAILING ADDRESS)
City, State, Zip Code:
The purpose of this application is to compile information on customers who wish to pay by check or credit card, and then enter the account into our computer system to track sales. In an effort to verify the validity of the customers we are selling to, it is extremely important to get the information we are requesting above to achieve this.
If Gehl Flooring Supply, Inc. takes legal action to collect any amounts, then Gehl Flooring Supply, Inc. has the right to recover all costs incurred in the collection process, including court cost and reasonable attorney’s fees. All amounts that are not reconciled within 30 days will incur a service charge of 11/2% per month – 18% per annum.
Thank you for your cooperation.
By clicking this box, I agree to the Terms and Conditions of Sale, which can be found in the top navigation menu bar.