Rafter T Ranch Co.

Rafter T Ranch Co.

2024 Retail Partner Application
Business Legal Name:*
Buyer's Name:*

First NameLast Name
Billing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Store Phone Number:*
Please enter a valid phone number.
Buyer's Cell Phone Number:*
Please enter a valid phone number.
Buyer's Email:*
example@example.com
Accounts Payable Email
example@example.com
Website:*
Tax ID Number / State:*
Upload Tax Certificate*

Cancelof
Shipping Address:

Same as Billing
Shipping Address (if different from billing):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business - Must Have a Store Front, Include photo for approval:*

Commercial Store FrontCatalogEcommerce Site - Must inventory product
Upload Storefront Picture*

Cancelof
Products:*

TackFarm & RanchAnimal HealthApparelAccessories/Gifts
Payment Type - We will keep this card on file. You do not pay until it ships.*

VisaMastercardDiscoverAMEX
Credit Card Number:*
Expiration Date:*
Security Code - 3 digits on the back, or the four digits on the front.*
Billing Zip Code:*
Other Tack/Bag Lines that you currently carry in your store:*
I,   First Name   Last Name   CONFIRM THAT THE INFORMATION GIVEN ABOVE IS TRUE AND CORRECT. BY SIGNING THIS FORM, I ADMIT THAT I HAVE READ AND AGREE TO ALL OF RAFTER T RANCH COMPANY’S POLICIES AND PROCEDURES. I, THE UNDERSIGNED, AUTHORIZE RAFTER T THE RIGHT TO CHARGE MY CREDIT CARD FOR ALL PURCHASES PLACED BY MY COMPANY UNLESS TERMS ARE APPROVED. HOWEVER, WITH TERMS, IF MY ACCOUNT BECOMES PAST DUE, RAFTER T MAY CHARGE THIS CARD FOR PAST DUE BALANCE IN FULL ON THE FIRST DAY IT IS LATE. I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR BACKORDERS AND LATE FEES AS NECESSARY PER OUR POLICIES.

Signature
Date
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