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Tri-Aids Inc.
Wholesale Application
Companies interested in
purchasing SwimSafe for resale must either complete this form and mail
it to the address below, or email the requested information.
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Mailing Address
Tri-Aids Inc.
Attn: Lance Nail
3448 Briargrove Lane
Dallas, TX 75287 |
Email Address
triaids@triaids.com
Phone
(214) 288-2491 |
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Your Company Name: |
Federal Employer Identification Number (EIN)
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Vendor’s License Number (Issuing State)
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Address (Bill To)
Street
City
State
Zip
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Address (Ship To)
__Check if same as Bill To address
Street
City
State
Zip
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Contact Name
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Contact Phone |
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Contact Email
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Fax (optional) |
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Billing Preference* |
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___ C.O.D. (Payment must be received at time
of delivery) |
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___ Pre-Payment
(Payment must be received before shipment of products) |
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___ Credit Card (Must
include, name, account number, expiration date and security
code) |
*Tri-Aids reserves the
right to require a specific payment type. This is simply an
indication of your preferred method of payment.
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