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FELCO North America Dealer Access

Thank you for your interest in becoming an authorized PYGAR USA / FELCO dealer. Please complete the information below so we can review your account setup, resale eligibility, billing information, and credit terms.

1.Reseller Verification

PYGAR USA sells only to authorized resellers.

Are you purchasing products from PYGAR USA for resale?

A
B

FEIN/EIN #

Primary type of business:

2. Business Information

DBA / Store Name, if different:

Legal Business Name:

Shipping Address:

Billing Address:

Main Phone Number:

Fax Number:

Website:

Main Contact Name:

Main Contact Title:

Main Contact Email:

Buyer Name if Different than Main Contact:

Buyer Email if Different than Main Contact:

Email for Invoices / Statements:

Email for MRKT/Promotion:

Email for MAP Violations:

Date Business Established:

Princapal Owner/s:

4. Required Tax / Resale Documents

To complete dealer setup, please upload PDF copies of the following documents.

A. Seller Registration Document

Please upload a PDF copy of your state-issued seller registration document. Depending on your state, this may be called a Seller’s Permit, Sales Tax Permit, Certificate of Authority, Vendor License, Reseller Permit, Transaction Privilege Tax License, or similar state registration.

B. Resale Certificate / Tax Exemption Certificate

Please upload a signed PDF resale certificate or exemption certificate showing that products purchased from PYGAR USA are being purchased for resale. Depending on your state, this may be called a Resale Certificate, Sales and Use Tax Resale Certificate, Exemption Certificate, Blanket Resale Certificate, Multijurisdiction Resale Certificate, or similar document.

5. Credit Request

Are you requesting credit terms with PYGAR USA?

A
B

7. Account Setup Preferences

Preferred order method:

A
B
C
D

Primary shipping location type:

A
B
C
D
E
F

Do you require purchase order numbers on invoices?

A
B

Do you require any special invoice or shipping instructions?

8. Dealer Agreement Acknowledgment

By submitting this survey, the applicant confirms that the information provided is accurate and that products purchased from PYGAR USA are intended for resale.

If credit is granted, the applicant understands and agrees that payment terms are Net 30 days from the date of invoice. Any past-due balances may be subject to service charges, collection costs, and reasonable attorney fees as outlined in PYGAR USA’s terms.

Signature of Pricipal Owner / Authorized Contact

Signature

Printed Name:

Title:

Date: