Please complete the following form to be considered for Entropy Resins’ Authorized Internet Reseller Program.

 

 

Entropy Resins Authorized Internet Reseller Program

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Company Information

Address*

Contact Information

To better serve you, please provide us the following contact information for your organization:
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General Manager*
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Purchasing Contact*
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Accounts Payable*
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Price Change Contact*
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Marketing Contact*

Acceptance of Terms

Complete the following to accept the terms outlined in the Entropy Resins Authorized Internet Reseller Agreement and Unilateral Price Policies.
Terms of Agreement*
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Your Name*