Metalworking Tools & Industrial Supplies

leftframe-contact

Distributor Application Form
Team Up And Earn More Profits With Travers Tool!

Navigating The Contact Us Page

Just take a few minutes to fill out the form below.

Travers will respond to your resell application in 2 working days. Meanwhile, you may purchase from Travers at our catalog list price. Once approved, we would be happy to credit your discount from your last order prior to your applying for a distributor discount.

In addition to filling out and submitting the form below please fax a copy of you reseller certificate for the state you operate in to:

Merrill DeWitt, Distributor Sales Dept.
Fax #: 718-661-5622

(*) required

Print out form
to complete offline.


	Personal & Contact Information
		First Name:*
		Last Name:*
		Title:*
		Department:*
		Phone #:*
		Fax #:
		Email Address:*
		Verify Email Address:*
		Preferred Method Of Contact:*

	Company Information
		Company Name:*
		Travers Account #: (if existing)
		D & B #:* (if not listed, please enter "not listed".)
		Type Of Industry:*
		Number Of Employees:*
		Company Web Site URL:

	Company Address:
		Address 1:*
		Address 2:
		City:*
		State/Province:* (Select "Other" if not in USA or Canada)
		Zip Code/Postal Code:*
		Country:*

	Distribution Information:
		What products do you resell?:*
		Expected industrial supply purchasing budget:*
		Do you have a catalog?:*
		Do you have a product list?:*
		List product(s):*

	Industrial Trade Reference #1:
		Company Name:*
		Contact Name:*
		Address:*
		City/State/Zip:
		Phone #:*
		Fax #:*

	Industrial Trade Reference #2:
		Company Name:*
		Contact Name:*
		Address:*
		City/State/Zip:
		Phone #:*
		Fax #:*

	Industrial Trade Reference #3:
		Company Name:*
		Contact Name:*
		Address:*
		City/State/Zip:
		Phone #:*
		Fax #:*


	NOTICE Travers reserves the right to amend its distributor policy and discount structure at its own discretion. Every attempt to contact customers regarding changes will be made, however, no guarantee is implicit in this form nor can any employee guarantee further discounting without written approval from a senior corporate officer of the company. Distributor discounts cannot be combined with any other discounting offer made by Travers. Travers takes every step to protect customer information; your information will be not shared with any third party.

Canadian Customers Click Here

This site is best viewed using Microsoft Internet Explorer 6.0.
To download the latest IE browser, click here.

ABOUT SSL CERTIFICATES