MTB MFG INC
4575 Powell Rd.
Wallenstein, Ontario Canada
N0B 2S0
sales@baumalight.com
www.baumalight.com
519.698.9864
Dealer Registration Form
Please fill out the below details so that Baumalight can open a direct account for your dealership
Dealership Name
Phone Number
Please enter a valid phone number.
Bill to/Ship to Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Account Payable Contact
Account Payable Email
Main Sales Contact
Main Sales Contact Email
example@example.com
Order acknowledgements will be sent to the main sales contact. If there is a different or additional email they should be sent to, enter it below
Warranty/Service Email Address
example@example.com
Email listed publicly on dealer locator
example@example.com
Federal Tax ID # (EIN)
Notes:
Submit
Should be Empty: