Dealer Application

To be  considered a dealer for Super Implements please fill out the following information and a  SFI employee will contact your shortly in response to your application. 

Agreement

  1. All invoices are to be paid 30 days from the date of the invoice.
  2. Claims arising from invoices must be made within seven working days.
  3. By submitting this application, you authorize Superior Fabrication, Inc. to make inquiries into the banking and business/trade references that you have supplied.
BUSINESS CONTACT INFORMATION
Company Contact Person or Owner
Company Contact Person or Owner
Phone *
Phone
Fax Number
Fax Number
AP Phone
AP Phone
AP Fax
AP Fax
$
Proprietorship
BUSINESS AND CREDIT INFORMATION
Company Primary Street Address
Company Primary Street Address
Phone
Phone
Fax
Fax
Bank Address
Bank Address
Bank Phone
Bank Phone
Business/Trade References
Company 1 Address
Company 1 Address
Company 1 Phone
Company 1 Phone
Company 1 Fax
Company 1 Fax
Company 2 Address
Company 2 Address
Company 2 Phone
Company 2 Phone
Company 2 Fax
Company 2 Fax
Company 3 Address
Company 3 Address
Company 3 Phone
Company 3 Phone
Company 3 Fax
Company 3 Fax
Signature Check Box
By checking the box below you agree to the above information to be accurate and true.