Petro Mold Company
Just Print these forms and mail or fax them to us. It's easy! In order to become a Petro Mold Dealer, simply purchase a minimum of 3 building molds or any combination of molds that exceeds $150.00 after all applicable discounts. All village specials qualify for minimum building purchase. MagiCast SmART Kits are a separate product line and are not included with this dealer plan.
Petro Mold Dealer Plan
*Monthly mold selections need to have a combined retail value exceeding $50.00 ($25.00 wholesale).
YES! Sign me up for the Dealer Plan with Petro Molds to save 50% off on every mold I purchase. I authorize Petro Mold Co. to bill my credit card for every sale under this plan and I understand that I must have a valid credit card and PA sales tax information on file to receive my molds free from 6% Pennsylvania sales tax. By signing below, I agree to purchase a minimum of $300 in molds annually at my cost (plus freight charges). I understand that I can cancel my membership after I purchase a minimum of six (6) additional molds. If I default under this agreement, my Dealer status with Petro Mold Company will terminate. To reactivate, I will need to restart the program from the beginning according to the terms in effect at that time.
Signed ______________________________ Print Name______________________________Date ____________
Company Name (please
PETRO MOLD COMPANY
CUSTOMER INFORMATION SHEET
BUSINESS NAME: _______________________________
CREDIT CARD INFORMATION:
CREDIT CARD NUMBER:___________________________
EXPIRATION DATE:______________ TYPE: MC VS DC
V-CODE ON CREDIT CARD:_________________________ (LAST 3 DIGITS IN WHITE STRIPE ON BACK OF CARD)
TAX EXEMPTION NUMBER:_________________________ STATE:__________
CONTACT PERSON FOR SHIPMENTS:_________________
WHAT IS THE BEST WAY TO REACH YOU DURING BUSINESS HOURS? TELEPHONE / E-MAIL / OTHER _____________________
Contact Us Toll Free - US only: 888-811-6653
International, local, or cell phone calls - 814-796-6635
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