TRANSWHEEL Corporation - The Nations #1 Source For Replacement Wheels

Would you prefer COD only status?

YesNo

New Account Request/Credit Application

Telling us if you require POs can help protect you against fraudulent orders.

If yes, please provide state and tax exemption certificate number

Phone:

Reason for Tax Exemption:

Sale to retailer, wholesaler, or manufacturer for resale only
Sale of machinery, tools, or equipment to be used directly in production
Sales to not-for-profit organizations
Sales to governmental units
Other

Telephone

Contact

Address

Company

Telephone

Title

Name

Certificate Nbr:

State:

Are you Tax Exempt?

YesNo

Ext:

E-Mail:

Contact:

TRADE REFERENCES:

OWNERS / PARTNERS / CORPORATE OFFICERS:

How did you hear about Transwheel?

Federal ID Nbr (U.S.):

Years in business:

Type of Business:

FAX:

Phone:

City, State, Zip:

Address:

Company:

To create a new Transwheel account you just enter the following information, print the credit application, and fax the application to Transwheel at (260) 358-2547. All fields are required. If you have any problems, questions or concerns, please do not hesitate to contact us at (800) 892-3733.

Sole ProprietorPartnershipCorporation

Do you require POs?

YesNo

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