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Reseller Application Form

Company Information
Tax Information


Billing Information
Shipping Address

Same as Billing

Trade References (four required)





I would like to receive emails from Cable Solutions about Special Promotions and Sales.

I authorize Cable Solutions to investigate and verify the information I have provided herein. I authorize and instruct any person or reporting agency to compile and furnish to Cable Solutions information that it may have to obtain in response to such inquiries and agree that such information shall remain Cable Solutions property.

I agree to honor all MAP (Minimum Advertised Price) policies that may be in effect by each manufacturer we elect to represent.

I attest to financial responsibility, ability and willingness to pay invoices in accordance with the Requested Terms.

I certify that all statements made by me in this application are correct to my knowledge.

Your name:   Title:   Date: 

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