New StrongPoles Dealer Application

Please enable JavaScript in your browser to complete this form.

Main Company Contact

First

Last

Company Name

DBA (if applicable)

Tax ID

Texas Sales Tax Number

Please email your Texas resale tax certificate separately to jean@strongpoles.com.

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone Number

Company Fax Number

Company Email Address

Company Website URL

Texas Sales Tax #

Note: Copy of Texas Resale Certificate Mad Out to Strong Poles Required for all Texas Dealers

Company Entity Type

Sole Proprietor
Partnership
LLC
Corp

Company Ship To Address

Address Line 1

Address Line 2

City

State

Zip Code

Note: Industry References (Minimum of 3)

Reference Name - 1

Reference Contact

Reference Phone Number

Reference Email Address

Reference Name - 2

Reference Contact

Reference Phone Number

Reference Email Address

Reference Name - 3

Reference Contact

Reference Phone Number

Reference Email Address

Digital Signature

Legally binding digital agreement

Date

Username

What username and password would you like?

Password

Password Must Contain at least 8 letters including 1 capital letter, at least 1 number and at least 1 symbol.

Wrote down LOGIN INFO?

Don't FORGET to SAVE your info!

Proudly Made in the USA

Product Catalog

844-669-3537

Dealer Application

Toll Free: (844) 669-3537

Outside The US: (903) 498-0980

Fax: (844) 319-3025

Email: sales@strongpoles.com