Dealer Application

D e a l e r A p p l i c a t i o n

K&P Engineering

15621 W Sampson Road
Littleton, CO, 80127, USA
Tel 720-238-1181 Fax 303-697-0404
contact@KandPEngineering.com
www.KandPEngineering.com

Thank you for your interest in our products and for supporting an American Manufacturer. We look forward to an excellent business relationship. Please forward the following information along with a copy of your business / tax license and signature

Company Name (required)

Billing Address (required)

Billing City (required)

Billing State (required)

Billing Zip (required)

Shipping Address (if different)

Contact Name (required)

Contact Phone Number (required)

Email Address for K&P Engineering
contact (shipping notifications, etc) (required)

CONTACT INFORMATION FOR YOUR CUSTOMERS

Email Address for Customer Contacts (if different from above)

Phone Number for Customer Contacts (if different from above)

Your Website Address

Will your website offer online ordering for K&P Oil Filters? (required)
YesNo

Does your business have a storefront or shop location where customers can pick up filters? (required)
yesno

Do you specialize in specific filter applications:(Example: Automotive, Motorcycle, etc) (required)
yesno

Are you willing to offer/ order filters for all filter applications? (required)
yesno

Would you like to be listed on our “Dealer Locator” on the K&P website? (required)
yesno

Bank Reference (only needed for net terms/open accounts)

Bank Name

Address, City, State, Zip

Phone Number

Fax Number

Account Name or #

Credit/Supplier References (only needed for net terms/open accounts)

Name

Address, City, State, Zip

Phone #/ Fax#

Account Name or #

Name

Address, City, State, Zip

Phone #/ Fax#

Account Name or #

Terms
Payment: Within U.S.:Credit Card, COD,Cash, Net 15 days (upon credit approval), Other net terms negotiable. Past due accounts subject to credit approval revocation and collections. Collection costs will be added to account due amount.
Outside U.S.: Wire Transfer, Bank Check in U.S. Funds
Freight:F.O.B. K&P Engineering shipping point, freight prepaid and added to invoice
Min. Order:None
Returns:New unused product in saleable condition can be exchanged/credited with prior approval; refund with prior approval; 15% restocking fee.

I agree with the above terms and authorize K&P Engineering to investigate and verify the
information I have provided.

Authorized Signature

Title/Position

Date