Dealer Application
Ironstar Beds | www.ironstarbeds.com | 573.473.6816
Business Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dealer #
*
EIN #
*
Sales Tax ID
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Toll Free #
-
Area Code
Phone Number
Phone #
*
-
Area Code
Phone Number
Fax #
*
-
Area Code
Phone Number
Cell #
-
Area Code
Phone Number
We currently do not have faxing capabilities
Best Form of Contact
*
Call
Text
Email
Other
E-mail
*
Website
Owner(s)
*
Purchasing
Contact Name
Accounting
Contact Name
Years in Business
*
Geographical area(s) covered
*
Number of Installation Service Bays
*
Number of Inside Salespeople
Number of Outside Salespeople
Truck Equipment line(s) you currently sell
Estimated # of beds you would sell per month
Estimated # of trailers you would sell per month
Cargo Trailers
approx #
Utility Trailers
approx #
Comments
Please list any other products that you might carry.
Submit
Should be Empty: