Business Name:

Parent Company or any DBA Names:

Owner Name(s):

This business is a:

Corporation

Partnership

Sole Ownership

Federal ID Number:

Sales Tax or Resale License Number:

Mailing Address:

Mailing Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Shipping Address:

Shipping Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Do you operate a retail outlet from this location?

Yes

Do you sell online?

Yes

If yes, which platforms do you sell on?

Please provide a link to each platform in the fields below.

Link2

Link3

Link4

Link5

Phone

Fax

Website

What is the primary nature of this business?

Date this business was established:

Month

Day

Year

Type of account desired:

Credit Card

ACH

If you choose to pay by credit card, please provide the credit card information you would like us to use when speaking with your Marshall Sales Representative.

If you choose to pay by ACH, please contact your Marshall Sales Representative to obtain the necessary payment details.

Prepayment is required prior to shipping your order.

Once your account has been approved and opened, a valid Resale Certificate must be provided and kept on file. Please submit this document to your Marshall Sales Representative.

Contacts:

Principle Buyer

Principle Buyer Email

Accounts Payable:

Accounts Payable Email:

Trade References:

Provide 3 trade references—suppliers from whom you purchase merchandise from on a regular basis.

1.

Business Name:

Your Account Number

#1 Business Name Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Fax

2.

Business Name:

Your Account Number

#1 Business Name Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Fax

3.

Business Name:

Your Account Number

#1 Business Name Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Fax

A sales representative will reach out with a company customer account number and passwords for each user. Thank you for your business.

CUSTOMER ACCOUNT APPLICATION

In order to gain access to order direct from our entire catalog, you must first create a profile within our ordering system. Please complete the form below with your information. A member of our sales team will review your submission and follow up to confirm eligibility and outline any next steps.