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Jorgenson Companies is a BBB Accredited Industrial Equipment Supplier in Salt Lake City, UT Chamber of Commerce

Become a Dealer

We are excited that you have chosen our line of products for your distribution and will do our best to see that your decision is both rewarding and profitable.

To set up your account with us, we would appreciate the following information and items

  • A completed dealer/distributor registration form (submit information below).
  • A brief description of your place of business.
Upon receipt of the above information and approval of your registration, we will be happy to forward to you the dealer/distributor discount information.

Please complete the following dealer/distributor registration form or print and mail to: 

Jorgenson Material Handling
1239 South 700 West
Salt Lake City, UT 84104

DEALER / DISTRIBUTOR REGISTRATION FORM

Please select Dealer Distributor
Name    
Company Name    
Billing Location    
Address    
City State
Zip  

 

Phone Fax
Email    
       
Shipping Location    
Address    
City State
Zip    
Phone Fax
Email    
       
Brief Description of Your Business     
Preferred Method of Payment
       
What is your effective territorial marketing limits (in terms of states, cities, miles and/or zip codes)?
This territory is catered by    
Direct Mail Media Advertising    
Salesperson Catalog    
Other    
If you have outside sales personnel, how many?

By entering your name, title and date, you acknowledge that your company is interested in becoming and authorized dealer/distributor, and understand and accept Artograph’s Dealer/Distributor requirements and payment terms.

Name
Date  

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