Credit Application

While you are waiting for your open account application with Markertek to be approved, we suggest that you submit your order(s) by FAX: 845-246-1757, E-Mail or phone: 800-522-2025 or checkout online with a credit card.

Please Complete All Sections Click Here for a Hard Copy to Fax or Mail.

Type of Credit Requested: Credit Card C.O.D. Company Check NET 20 Days Open Account Status

Billing Information
Name Of Firm	Subsidiary Of
Street	Type Of Business
P.O. Box	Resale/Sales Tax No.
City State Zip	SS# Or F.E.I.N.
Country	DUNS#
Phone Fax*	Check One: Corporation Partnership Proprietorship
Email*

Shipping Information
Street
P.O. Box
City State Zip

Purchasing Name	A/P Name
Purchasing Phone Fax	A/P Phone Fax
# Of Years in Business # Of Employees	Year Established
Business Operates From Own Building Office Building Home Other
How did you find out about Markertek Video Supply: Catalog/Mailing Customer Referral Publication Other

Although I have provided my e-mail and fax number, I do not* wish to receive promotional faxes and e-mail sent by Markertek.

We Do Not charge sales tax except for non-exempt orders shipped in New York State. If you are a non-exempt New York State purchaser please FAX a copy of your resale certificate to 845-246-1757. I certify that all statements made by me in this application are correct to my knowledge. I authorize Tower Products to investigate and verify the information I have provided herein.
Your name Title Date

Customer Support

• Home
• Customer Service
• My Account
• My Shopping Cart
• My Wish List
• Get a Receipt
• Track My Order
• Logout

• Contact Us
• Credit Application
• Customer Feedback
• Bids/Govt. Sales
• Dealer Sales
• Returns
• Selling to Markertek
• Link to Markertek

Resources

• Free Catalog Request
• Time-Saving Documents
• Cable-Connector-Tool Chart
• Customer Service
• Tech Support
• Custom Department
• Unsubscribe from email