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JUSTIN COULTER
Director of Sales
502.552.1683‬
[email protected]

 

Business Name
Primary Contact Name
Email me when the shocks are for sale.
Please enter a number greater than or equal to 1.
I agree to be contacted.

Name
Email me when the shocks are for sale.
Please also send me an SMS text message
I agree to be contacted.

Name
Email me when the shocks are for sale.
Please also send me an SMS text message
I agree to be contacted.

"*" indicates required fields

Step 1 of 4

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Your Information

Name*
Address*

Purchase Information

MM slash DD slash YYYY
Max. file size: 20 MB.

Vehicle Information

Is the vehicle on which the product is installed used for commercial purposes?
What is your preferred contact method?*
Do you own the vehicle in which the product is installed?*
Has the product ever been in stalled on another vehicle?*
Max. file size: 20 MB.
Max. file size: 20 MB.

 

JUSTIN TEVIS
Director of Finance
805.696.5521
[email protected]

 

Name(Required)
Acknowledgement(Required)

 

GERRY LAMBERTI
Chairman & CEO
805.453.2726
[email protected]

 

 

TOM BATEMAN
Director of Marketing
208.512.0855
[email protected]

 

 

JENI CHEN
Director of Operations
805.698.1608
[email protected]

 

 

ADAM WEISNER
President
208.449.9506
[email protected]

 

Thank you for leaving a review for the . We’re excited to be part of making your journey better.

Customer Credit Application

Please provide company information, bank reference information, and four trade references.

Step 1 of 6

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  • Company Information

  • If different from Billing Address
  • Please enter a number from 0000 to 9999.
  • Attachments

    Without a copy of your Tax Exemption Certificate your Customer Credit Application cannot be processed. You must attach a copy to continue with this form. Please attach below as a jpg, pdf, tif, png, or similar file type.
  • Maximum file(s) size = 20MB.
    Accepted file types: jpg, txt, gif, png, pdf, tif, ai, psd, zip, eps, doc, docx, Max. file size: 20 MB.
  • Please follow all rules according to your state when submitting valid Resale Certificates. Maximum file(s) size = 20MB.
    Accepted file types: jpg, txt, gif, png, pdf, tif, ai, psd, zip, eps, doc, docx, Max. file size: 20 MB.
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  • Bank Reference

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  • Trade Reference #1

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  • Trade Reference #2

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  • Trade Reference #3

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  • Trade Reference #4

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Credit Reference

  • Credit Referral

    Please complete this form so we may determine the credit worthiness of this applicant.
  • Your Company Information

  • Referral information

  • Example: 01/01/2019
  • A/R Info:

  • 1 of 4
  • 2 of 4
  • 3 of 4
  • 4 of 4
  • Sum of the last 4 questions
  • Terms

  • Please enter a number from 0 to 100.
  • Comments

Authorized Online Seller Application

  • (Select one or both)

  • Buyer Information

  • Purchase Information

  • Please enter the part number(s) you purchased.
  • Installation Information

  • Additional Information

  • Attachment

  • This can be a receipt, screenshot, email, or other proof showing your product and the place of purchase.
    Drop files here or
    Max. file size: 20 MB.

    "*" indicates required fields

    Step 1 of 4

    25%

    Your Information

    Name*
    Address*

    Purchase Information

    MM slash DD slash YYYY

    Vehicle Information

    What is your preferred contact method?*
    Do you own the vehicle in which the product is installed?*
    Has the product ever been in stalled on another vehicle?*
    Max. file size: 20 MB.

    Creative Request

    Type of Request(Required)
    What type of project are you requesting?
    Installation Instruction Request(Required)
    Max. file size: 20 MB.

    Schedule A Training

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    Brand Protection continues to be of the utmost importance for our company and our customers. We’ve spent the last several years building and rolling out processes to that end.

    With that in mind, effective immediately, we’ve added Amazon to our Do Not Sell list.

    Please make sure you frequently review the Authorized and Unauthorized Sellers on below to ensure your adherence to our Brand Protection Program. Selling to an Unauthorized Seller violates that program.

    If you have any questions concerning selling online, please contact your relationship manager at 800.898.0705.

    Thank you for your partnership and continued support of the SuperSprings International brand.

    • (check all that apply)

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