COD ACCOUNT APPLICATION

COD ACCOUNT APPLICATION
Complete this application to establish a COD (Cash on Delivery) Account in your name. A COD Account with Maumee Supply provides you with discounted pricing, return assistance, manufacturer warranties, order tracking and trends. By completing this application, you ensure a more efficient and cost-effective purchasing experience with Maumee Supply.

We value your business and look forward to assisting you!

Contact Information: Used only to establish your account - your information is never sold or shared.
APPLICANT:
Legal Name of Organization or Individual *
Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone*
Please enter a valid phone number.
Cell*
Please enter a valid phone number.
Email*
example@example.com
Type of Business*

PlumbingHeatingBuilderRemodelerManufacturingMechanical ContractorOther
Operates As*

CorporationPartnershipSole ProprietorLLCOther
Federal ID#*
Estimated Annual Purchase Volume *
NAMES OF OWNERS OR PARTNERS:
Name
Social Security#
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Name
Social Security#
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
KEY CONTACTS:
Name 1

First NameLast Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name 2

First NameLast Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name 3

First NameLast Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name 4

First NameLast Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Signature*

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Date*

MonthDayYear
Date
At Maumee Supply, we want to make your ordering experience as easy and flexible as possible. In addition to shopping at our branches, you can place orders through our OE Touch Maumee Supply app or visit us online at www.maumeesupply.com anytime, from anywhere.

YES! I want access to purchase online through maumeesupply.com and the OE Touch Maumee Supply app.
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