Salita Shower Systems - Agreement and Application

Thank you for your interest in becoming
a Salita Shower Systems dealer!

Please complete the application form below.

Agreement and Application for Account

For the purpose of obtaining merchandise from Salita Shower Systems, LLC (seller), the following statement is made by the applicant, intending that the seller should rely on the same as correct.
Terms and Conditions

Name of Applicant:

Trade Name (if any):

E-mail Address:

Phone Number:

Billing Address:

City:

State:

Zip:

Shipping Address:

City:

State:

Zip:

I/We prefer to recieve invoices via:

Fax: Fax#:

E-mail: E-mail Address:

Business Information:

Type of Business:
Check all appropriate

Fabricator	Kitchen/Bath Dealer
Distributor	Design Showroom
Architect	Designer
Plumbing Supply

Business Classification:

Sole Proprietorship	Partnership
Corporation	LLC
FIEN:

Do you have a Showroom?

Yes: No:

Contact Information:

Contact for Payment:

Contact for Payment E-mail:

Contact for Orders:

Contact for Orders E-mail:

Purchases Subject to Sales Tax?
If no, you will be required
to provide resale certificate.

Yes: , No:

Owners, Officers or Partners:

Principal 1 Name:

Principal 1 Address:

Principal 1 City:

Principal 1 State:

, Zip:

Principal 2 Name:

Principal 2 Address:

Principal 2 City:

Principal 2 State:

, Zip:

I have read and agree with the terms and conditions of this application.


Sales & Manufacturing Longmont, Colorado Toll Free: 866.963.1606 Fax: 303.774.9977	4040 Kodiak Court Longmont, CO 80504 info@salitashowers.com	Sales & Manufacturing Little Rock Arkansas Toll Free: 800.786.7530 Fax: 501.537.0170