• Corpus Christi
  • Port Aransas
  • Galveston
  • Crystal Beach
  • Lake Charles
  • Lafayette
  • Slidell

Dealer Inquiries

We appreciate your interest in EasyLift™ Cargo Lifts!

If you are looking to purchase an EasyLift, please click here to contact us.

If you are looking to become a Dealer of our EasyLift Cargo Lifts with the incorporated
CageArrest brake system, please take a moment to answer the questions below.


Company:
First Name:
Last Name:
Title:
Owner or Head of Sales
Name & Title:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Would you like to receive emails with specials and promotions? Yes   No
Please classify your business
& indicate the % of business
it represents for you 		Home based business  %
Commercial storefront location  %
Commercial business (no storefront)  %

If Other (please explain)
Do you have any dedicated sales people? Yes   No
Yes, if so how many 
Please indicate your companies sales volume in dollars for 2009.
Is your company a member of any buying group, if so please provide your membership number? Yes   No
Yes, Group Name & Membership # 
What companies do you currently have distributor agreements with?
I would like to apply for credit terms Yes   No
How did you hear about EasyLift?

If Other (please explain)
Please provide a Federal Tax ID or State Resale Certificate #
Email for Invoices:
Email for Specials/Mkt:
Email for Order Confirmations:
Email for Shipment Confirmations:
Comments/Questions:
After receiving the above information we will review your account for consideration. Please allow a minimum of 48 hours to review your application. If you have an order pending on your account’s approval, please indicate this in the “Comments/Questions” area above. Thank you.
    

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