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

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)


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)

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

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

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

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

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)


Address, City, State, Zip

Phone #/ Fax#

Account Name or #


Address, City, State, Zip

Phone #/ Fax#

Account Name or #

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