Durrie Sales Reseller Agreement

Durrie Sales Reseller Agreement
Application Status
We’re excited to work with you! Durrie Sales supplies products exclusively to authorized distributors and OEMs. To get started, we just need a few details.
You must confirm the following to proceed:*

I confirm that all products ordered are for resale only.I am authorized to open an account on behalf of my company.I understand the FIRST ORDER must be at least $350.00 NET, and payment must be made in advance via credit card or ACH, unless otherwise approved by your salesperson.
Provide a name and contact info for the person filling out this application. This is the person that our Onboarding Team will contact right away if we need any other information.
Name of person completing the form:*

First NameLast Name
Email For Updates*
example@example.com
Phone Number (Optional)
Enter a valid phone number.
If you have been working with a salesperson, select below:*
Sales Person Email
example@example.com
Sales Person Phone Number

Contact Information
Accounts Payable
Name*

First NameLast Name
Phone Number*
Enter a valid phone number.
Email for Invoices*
example@example.com
Order Acknowledgements
If you would like another email address to always receive order acknowledgements in addition to the person sending the order, enter it here.
Acknowledgments Email
example@example.com

Request for Terms (Optional)
Would you like to apply for Terms?

YesNo
Do you have a PDF of the Trade References you would like to upload o enter them manually?

UploadManually
Trade References

Cancelof
Reference 1
Business Name
Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Enter a valid phone number.
Reference 2
Business Name
Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Enter a valid phone number.
Reference 3
Business Name
Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Enter a valid phone number.
Reference 4
Business Name
Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Enter a valid phone number.
Reference 5
Business Name
Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Enter a valid phone number.
Should be Empty:

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