DEALER + TRADE ACCOUNTS

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GENERAL INQUIRY

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SAMPLE REQUEST

QUOTE / PURCHASE

If you are a design professional, please complete this form and upload a copy of your reseller’s certificate (if applicable) to apply for our trade program.

Please allow 2 business days for your application to be reviewed.You will receive an email confirmation once your account is approved.

SYSTEM INTEGRATORS

Once your account is confirmed you will receive an email invite to access the Meljac North America partner portal and configurator.

This platform will allow you to build out quotes and submittal drawing sets, place orders, and purchase stocked back boxes.

When registering for an account, please include all members of your company who should have access to the partner portal.

Trade accounts

Company Name*(Required)

Company Name*

Company Type*(Required)

Company Phone Number*(Required)

Primary Contact Name*(Required)

Phone (Primary Contact)*(Required)

Email (Primary Contact)*(Required)

Role or Title

Resale Certificate (Upload file: PDF or JPG, max 3 MB)

Max. file size: 3 MB.

Meljac North America files sales tax in New York State and California. For clients in these states, who have not provided a reseller’s permit, MNA will collect and file sales tax.

For clients without a reseller’s permit outside of New York State and California, you are responsible for collecting and filing sales tax.

System integrators

If you would like to invite other members from your company to access the configurator, please provide their names and emails below

First Name

First Name Last Name

Email(Required)

List

First Name

Last Name

Role or Title

Shipping information

Shipping Contact Name*(Required)

Email (Shipping Contact)*(Required)

Address(Required)

Shipping Street Address* Shipping City* Shipping State*

Shipping Zip Code*(Required)

Shipping Zip Code*

FedEx or UPS Account

billing information

Billing Street Address*

Billing Street Address* Billing City* Billing State*

Billing Zip Code*(Required)

Billing Zip Code*

Email (Billing Contact)*(Required)

Comments

This field is for validation purposes and should be left unchanged.Comments