ACCOUNT FORM

 

                            NEW ACCOUNT FORM

 

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NEW ACCOUNT                                                                                          CODE: __________                                                                                                                                                 

                                                                                                                                            

                                                                                                                                                  

DATE                           __________________                                                                          

                                                                                                                                                    

 COMPANY NAME     ________________________________________                        

                                                                                                                                                     

                                                                                                                                                      

SHIPPING ADDRESS __________________________________________________           

 

CITY                             _______________________________________________

 

STATE                         ______________          ZIP_______________

 

 

BILLING ADDRESS    ______________________________________________

 

CITY                             ____________________________________

 

STATE                         ________________       ZIP_____________                

 

PHONE                        ____________________________________    

 

Fax                                ________________________________           

 

* E-mail                          ________________________________________________

 

 

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TERMS

              

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 EXP DATE               ______________

 

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HOW DO YOU SELL YOUR PRODUCTS  PLEASE CIRCLE ONE OR AS MANY AS NEEDED

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E-Mail To:   info@protechoutdoors.com

FAX TO:     1-256-878-7576

Mail To:    Pro-Tech Outdoors

                   289 Red Barn Rd.

                   Guntersville, AL 35976                                                 

 

 


Last Updated: February 29, 2008