Distributor Application Form
Stevens
Appliance Truck Company
Manufacturers of the famous ESCORT Appliance Trucks
PO Box 897 • Augusta, GA 30903-0897
Phone: (706) 798-8535
TOLL FREE 1-888-463-8757
FAX: (706) 798-4511
www.StevensMFG.com E-Mail:
Info@StevensMFG.com
Firm Applying
Owner's Name
Address
City
ST
Zip
Phone
FAX
E-mail
Business Type
Years in Business
Contact Person for Shipping
Shipping Person Phone
Contact Person for Ordering
Shipping Person Phone
Contact Person for Billing
Billing Person Phone
D & B Rating:
and at least 5 Credit References:
Name:
Address:
City:
State:
Zip:
Phone:
FAX:
E-mail:
Name:
Address:
City:
State:
Zip:
Phone:
FAX:
E-mail:
Name:
Address:
City:
State:
Zip:
Phone:
FAX:
E-mail:
Name:
Address:
City:
State:
Zip:
Phone:
FAX:
E-mail:
Name:
Address:
City:
State:
Zip:
Phone:
FAX:
E-mail:
Name:
Address:
City:
State:
Zip:
Phone:
FAX:
E-mail:
Credit terms are ½% cash -10 days, Net 30 days. A service charge of 1 ½% per month will be charged on the unpaid balance on accounts not paid within 30 days. Shipments will not be made to distributors whose accounts are past due.
YEARLY PURCHASES ARE REQUIRED
TO MAINTAIN
ACTIVE DEALER STATUS
.
If you become a distributor for the Stevens Appliance Truck Company will you be willing to stock and promote the
ESCORT
line? Yes
No
How many units do you anticipate you will be able to sell per year?
Initial order must be a minimum of 12 or 6 trucks.
Signature of Applicant
(If submitting this Application via the Web, type your name here.)
Title
You may Print this form by clicking on the Print Button of your Browser and mail or fax to Stevens at the address above.
Or, you may submit the completed form by e-mail by clicking the "Submit" button here...
Kamagra Oral Jelly
Viagra Soft
Viagra opiniones
Cialis Generico
Cialis Soft
Viagra Strips
Kamagra Soft
Levitra 20 mg
Levitra Vardenafil 20 mg
Meizitang
Propecia
Priligy Generico
Valif Oral Jelly
Cialis
Kamagra Fizz
Viagra poppers
Cialis precio 20 mg
Levitra opiniones
Viagra Generico
Lida daidaihua
Kamagra 100
Viagra
Viagra Generico
in nederland
hvor kjøpe generisk cialis på nett i Norge
viagra generique
achat cialis
cialis prix
kamagra oral jelly
kamagra 100
viagra femme
levitra pas cher
kamagra pas cher
viagra pfizer
viagra pour homme
acheter cialis
kamagra prix
viagra pas cher
cialis 20mg
levitra 20
prix cialis
cialis generique
kamagra gel
viagra prix
in nederland
hvor kjøpe generisk cialis på nett i Norge
Chaussure nike
chaussure sport
sac a main
nike chaussure
adidas chaussure
lunette de soleil
Vetement
Chaussure adidas
Kleid
Sportschuhe
adidas schuhe
adidas schuhe
nike schuhe
schmuck
nike schuhe damen
Taschen
sonnenbrille
lunette ray ban
Chaussure puma
christian louboutin
adidas zx flux
chaussures de foot
adidas femme
Chaussure
louboutin
chaussure bateau
Sac louis vuitton
chaussure de foot
polo ralph lauren
chaussure de marque
Chaussure nike
Bijoux
nike roshe run femme
nike blazer
lunette de soleil
chaussure femme
nike roshe
Air max nike
lunette de soleil carrea
nike air force
nike chaussure
adidas yeezy
chaussure new balance
lunette de soleil oakley
nike huarache
Chaussure asics
new balance uk
jordan trainers
Adidas Stan Smith uk
nike free 5.0 uk
oakley sunglasses uk
timberland boots uk
nike air max sale
saucony trainers
Longchamp uk
adidas football boots uk
polo shirts uk
louis vuitton uk
adidas neo uk
nike air force 1 uk
cheap ray bans uk
hollister uk
balenciaga trainers
nike trainers uk
adidas trainers
Adidas Superstar uk
nike football boots uk
nike air force uk
puma uk
abercrombie and fitch uk
gucci belt uk
nike shox uk
jimmy choo uk
nike blazers uk
giuseppe zanotti uk
adidas tubular uk
viagra uk
cialis generika
cialis online
levitra kaufen
kamagra online uk
viagra for sale uk
viagra tablets uk
levitra online uk
Viagra online
cialis uk
cialis tablets uk
levitra uk
levitra 20mg uk
viagra generika
viagra kaufen
levitra generika
kamagra jelly
kamagra shop
buy cialis london
cialis pills for sale uk
buy kamagra uk
Kamagra 100mg Oral Jelly Sildenafil
Lovegra 100mg Tablets
Lovegra Women 100mg
Generic Viagra Trial Packs
Generic Cialis Trial Packs
Lovegra 100mg Tablets
Lovegra 100mg Reviews
Lovegra Sildenafil 100mg
Lovegra Women 100mg
Generic Priligy 60 Mg
Generic Priligy Side Effects
Generic Priligy 30mg
Generic Priligy (Dapoxetine)
Super Kamagra Erectile Dysfunction Tablet
Kamagra Super 100mg
Kamagra Super Online
Generic Propecia Finasteride 1mg
Buy Generic Propecia 1mg Online
Lida Daidaihua China
Lida Daidaihua Weight Loss Capsules
Meizitang Soft Gel Original
Meizitang Botanical Slimming Soft Gel Original 100 Natural
Super Kamagra Prodej
Super Kamagra 100 Mg
Meizitang
Meizitang Soft Gel
Lida Daidaihua Cena
Lida Daidaihua Koupit
Lida Daidaihua Diskuze
Propecia Prodej
Propecia Koupit
Cialis 5mg
Levitra 20mg
Kamagra 100 Mg
Kamagra 100
Kamagra Oral Jelly
Lovegra 100
Kamagra Super
Viagra Nedir
Orjinal Cialis 20 mg
Cialis Orjinal
Orjinal Cialis
Levitra 20 mg
Levitra Yorum
Viagra Jenerik
Jenerik Viagra Nedir
Cialis Jenerik
Jenerik Cialis Nedir
Oryginalny Cialis Bez Recepty
Oryginalna Viagra Bez Recepty
Oryginalna Viagra Cena
Cialis Oryginalny
Kamagra
Cialis Oryginalny
Oryginalny Cialis Bez Recepty
Oryginalny Cialis Najtaniej
Cialis Super Active
Oryginalna Viagra
Oryginalny Cialis Najtaniej
Oryginalna Levitra
Viagra Super Active
Kamagra Oral Jelly
Viagra Generyczna Bez Recepty
Viagra Generyczna 100mg
Oryginalna Viagra
Cialis Oryginalny
Cialis Generyczny 20 mg
Cialis Generyczny Najtaniej
Levitra Generyczna
Zaburzenia Erekcji
Oryginalna Levitra
Levitra Bestellen
Levitra Deutschland
LEVITRA ERFAHRUNGEN
Levitra Generika
Levitra Kaufen
LEVITRA ORIGINAL
Levitra Preis
Levitra Preisvergleich
Levitra Wirkungsdauer
Lida Daidaihua Amazon
Lida Daidaihua Original Bestellen
Lovegra Apotheke Deutschland
Lovegra Bestellen
Lovegra Nebenwirkungen
MEIZITANG BESTELLEN
Meizitang Original
Priligy 30 Mg
Priligy Bestellen
Priligy Dapoxetin
Priligy Forum
Priligy Generika
Priligy Kaufen
Priligy Kosten
PRILIGY PREIS
PRILIGY TABLETTEN
PRILIGY WIRKUNG
propeciaerfahrungen.nu
Propecia Finasterid
Propecia Frauen
Propecia Generika
Propecia Kaufen
Propecia Kosten
Propecia Nebenwirkung
Propecia Preis
Propecia Rezeptfrei
Sildenafil Generika
kamagra prix
kamagra 100mg
acheter levitra
levitra prix
viagra prix
viagra pharmacie
kamagra oral jelly
kamagra jelly
acheter kamagra
acheter viagra
viagra ordonnance
viagra sans ordonnance
kamagra jelly
kamagra pas cher
kamagra jelly canada
kamagra gel canada
kamagra canada
cialis canada
cialis generic canada
levitra vademecum
comprar cialis
Cialis comprar
cialis online
kamagra sobres
comprar Kamagra
kamagra farmacia
comprar levitra
levitra original
levitra bayer
viagra para mujeres
viagra femenina
viagra mujer
kamagra apotheke
cialis original
kamagra 100mg
kamagra 100