Email
Company Name
DBA (if applicable)
Primay Contact - Full Name
Secondary Contact (if applicable)
Additional Authorized Purchasers (if any)
Primary Phone
Secondary Phone (if applicable)
Business License
Yes
No
Madico requires a copy of your valid business license.
Tax Resale Certificate (if any)
Yes
No
(If yes, send applicable form/certificate) For customers located in: AZ, CA, CT, FL, GA, MA, MD, NJ, NY, TX, OK, & UT, a tax resale certificate is required to be on file with us.
Payment Information
Credit Card
Apply for Payment Terms
(If applying for terms, we will send you a credit application)
How did you hear about us?
Current Suppliers
What window film suppliers do you currently buy from?
Madico Experience
Have you previously done business with Madico?
Which Segments do you sell?
Example: Automotive 50%, Architectural (flat glass) 0%, Safety/Security 50%, Decorative 0%.
What are your average annual window film and tool purchases ($)?
$0 - $50,000
$50,001 - $250,000
$250,001+
How many employees do you have?
1-2
3-5
6+
How many years have you been in business?
1-2
3-5
6+
Website (if any)
Instagram Account (if applicable)
Please tell us more about your business so we can serve you better.
Comments