This is an application to become a Buckley Rumford Store Dealer to sell screens, gas logs and other products related to Rumford fireplaces. If you are a masonry materials dealer and want to become a Superior Clay dealer and carry the Rumford components, clay chimney pots and other masonry products, click here. To become a Buckley Rumford Dealer, print out, complete form, and mail or fax to:
Buckley Rumford Co.
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Name of company_________________________________________________ Address_________________________________________________________ ________________________________________________________________ Phone______________________________FAX_________________________
Company is a Corporation______, Partnership_______, or Proprietorship_____
Company officers________________________ _________________________
Bank name________________________ Officer's name __________________
Trade references:
Are there suits for debts owed or unsatisfied judgements against the company or has Authorized Signor_____________________________ Date__________________ Title___________________________
Not approved____________________ Reason_________________ Date ________
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Buckley Rumford Fireplaces
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