New Domestic Account - SuperSprings® International, Inc.

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Company Name*
Company Website
Current SSI Contact*
How did you hear about us?*
Accounts Payable Contact
Person responsible for Accounts Payable
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Person responsible for Accounts Payable Statements*
- Same as Accounts Payable
- Someone else
Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Purchasing Agent*
- Same as Accounts Payable
- Same as Accounts Payable Statements
- Someone else
Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
To whom should we send purchasing/shipping notifications?*
Select all that apply
- Same as Accounts Payable
- Same as Accounts Payable Statements
- Purchasing Agent
To what address should we ship product?*
- Accounts payable contact
- Accounts payable statements contact
- Purchasing agent contact
- New address
Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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By completing this form, you agree to allow SuperSprings International to publish your business information on our website as an official distributor.*
- I agree

JUSTIN COULTER
Director of Sales
502.552.1683‬
[email protected]

JUSTIN TEVIS
Director of Finance
805.696.5521
[email protected]

Name(Required)

First Last

Company Name(Required)

Position with Company(Required)

Email(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.

Name*
First Last
Company Name
Title
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
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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
Company Name:*
Name*
First Middle Last
Referral information
Sold Since:
High Credit:
Date of Last Sale:

Example: 01/01/2019
A/R Balance:
A/R Info:
Current
1 of 4
1-30 days
2 of 4
31-60 days
3 of 4
Over 90
4 of 4
Total A/R
Sum of the last 4 questions
Terms
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Days:
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Prompt:
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Schedule A Training

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.

Company Name*
What type of customers do you work with?*
What type(s) of vehicles do you install products on?*
(check all that apply)
- Select All
- Recreational truck/car
- Commercial vehicles
- RV/Van/Motorhomes
- Trailer/Towables
- Jeep
- Overland
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Website*

Accounts Payable Contact

In your cart

Your Items

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Accounts Payable Contact

Credit Referral

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Terms

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Accounts Payable Contact