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New Customer Application
Please fill out the following form or
for printer friendly (PDF) application.
(If Different from Billing)
Type of Business:
As manufacturers of various bathroom accessories, Extreme Enclosures works closely with Wholesalers, Distributors, Contractors and Retail Establishments. Please help us to understand the complete nature of your business.
Method of Payment:
Please check the method of payment you will be using for future purchases. All information is kept completely confidential.
Name on Card:
(Back of Card)
Expected Sales Volume:
Extreme Enclosures offers various price multipliers for volume purchases which are calculated quarterly. Please see our price multiplier chart and determine an amount that your company would expect to purchase each quarter so that we may establish a
for your company.
Expected Quarterly Sales Volume:
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- 650 Stackstown Road, Marietta, PA 17547
(717) 426-4421 -
1(866) 363-5678 -
(717) 426-4123 -