Customer Application - Econoco retail store fixtures and displays

Econoco Customer Application

If you would like to purchase products from Econoco, please complete the Customer Application form below. When you have completed all necessary information, press the "Submit" button.

Thank you for your interest in Econoco.

Please Note: Indicates required data. You must complete the designated fields.

Customer Application

Please complete this form to obtain a customer account.

Company Name:

Contact Person:

Email Address:

Website:

Phone:

Ext.

Fax:

Billing Address:

City:

State or Country:

(State, Province, or Country)

Zip/Postal Code:

(if applicable)

Shipping Address:

City:

State or Country:

(State, Province, or Country)

Zip/Postal Code:

(if applicable)

Type of Business:

Years in Business:

Number of Employees:

In office:

In warehouse:

Do you operate a storefront?

Yes No If yes, how many stores?

Do you have a warehouse?

Yes No If yes, how many sq. feet?

Do you publish a catalog?

Yes No If yes, how often?

How did you hear about Econoco?

Which Econoco product lines are you most interested in?

I need to place an order now. Please contact me immediately.

NOTICE: A $1000 MINIMUM OPENING ORDER IS REQUIRED FOR ALL ACCOUNTS.