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  Reseller Registration
       Guillen's Enterprises, Inc. is committed to protect our industry.  Please, provide us with the following information:

Online Business Registration

COMPANY INFORMATION

Company:

 Contact  Name:

Street Address:

   Contact Phone:   Ext: 

Street Address:

 Click on  all that applies below:

Apt. or Suite:

 (*)  We are a:

City:

   Other:

State:

  

(*)   If a Dist., Wholesaler  or Mfg.:    List the Brands below:

Country

  

Zip:

  

Telephone:

   Federal ID #:

Fax:

 Tax Exempt # :** 

E-Mail:

**FL Business must fax the current Florida Tax Exempt Form
(*) If an Auth. Warranty Service Agent:    List the Brands below:

Our Customer Number is: Check our Account,  because:  Just moved   Verify Inf.   Re-classify 
     I do not know my Customer Number and we purchased from you before,  Please review our information
Note: If you are placing an order for the first time,  provide The Order Number given by the system:

The above  information is for our business classification and shipping purposes only, it will assist us in providing your discounts.
 Guillen's enterprises, Inc. reserves the right to refuse any orders.  **Fax (305) 223-4420

 


 

  

 

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