BRCF Dealer Application Page

 

Please Fill out and submit to our office. If you have any questions, please feel free to email us at info@blueridgechurchfurniture.com

Dealer/Owner's Name Business Name:
Incorporated? Business Start Date:
Mailing Address: City:
State: Zip Code:
Email: Office Phone:
Home Phone: Cell Phone:
Business Website:    
What States do you have a resale Tax License for?

(Use the Crtl Key for Multiple States)

 DO you have a D&B Number?

Please List: 

       

Please list key personnel, including those who have the authority to issue a purchase order on your behalf.

Please Note that all orders, unless approved by BRCF, require both a written purchase order and payment with the order to be processed. This allows us to keep our prices low for you! Thank you for submitting your form and we look forward to starting our business relationship with you!