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If you need to expedite your order (while you are waiting for your open account application with Markertek to be approved), we suggest that you use a credit card and submit your order(s) via this website / or contact customer service: (800) 522-2025.

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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
 
I prefer Paperless Billing 
 
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 charge sales tax for orders shipped in New York State. If you are a tax-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 
 


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