MXT - Dealer Application

Your Business Information

Contact's Name

First NameLast Name

Legal Business Name

Street address

City

State

Zip Code

Phone Number

E-mail address

Web Address

Notes

(Optional) Please Provide Your Resale Certificate

We must receive all of the following items below for your company to qualify for dealer pricing. If any of the items below are missing, your application won’t be processed. So please make sure everything is in order before submitting.

Please note, a resale certificate / TAX ID allows your business to avoid paying taxes on items purchased for resale to customers. Providing this is optional, but recommend.