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U-Dump Dealer Application

Fill out the form below to apply to become an authorized U-Dump dealer. (Download the application as a PDF file)


General Information

Company Name*:

Street Address*:

City/State/Zip:

Telephone:

Fax:

Email*:



Dealer Information

Dealer Name*:

Dealer Number (Must have current Dealer Number)*:

Dealer Address*:

City/State/Zip*:



Names of Officers/Partners or Salesperson

Name*:

Title*:



Trade Reference

Name:

Phone:

Address:

City/State/Zip:



Bank Reference

Name:

Phone:

Address:

City/State/Zip:


Acceptance of Material or Service on your part constitutes agreement incurred in the collection of payment for same. If credit is extended for replacement parts, any amount remaining beyond agreed upon terms as printed on the invoices in question are subject to a service charge of 1½% per month. All new trailers are sold COD and payment will be collected at the time of delivery or before. Applicant agrees to all of the Terms and Conditions of Sale as stated above.


Signature (enter full name)*:

Date*:





* Indicates a required field