Dealer & Fabricator Information Sheet

Company Name:

Contact Person:

Title:

Mailing Address:

Shipping Address:

City:

State:

Zip:

Telephone:

Fax:

Email:

Sales Tax (if applicable) %:

Resale#

Tax ID#:

Items marked with (*) are required.

Please send me Grifform Innovations^® Dealer and Point of Sale literature.

Please send me Grifform Innovations^® Product and Specifications Notebook.

Please send me Grifform Innovations^® Commercial Notebook Section.

Please send me Grifform Innovations^® User login and Password.

Certified Fabricator/Installer Numbers, Brands and Distributers:

Do you have a showroom?

Yes

How many locations do you have?:

What do you specialize in?:
(i.e. countertops, bath remodel, etc.)

Comments:

Contractors