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Members (suppliers) Form

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	EQUIPMENT.NET is the largest online trading forum dedicated exclusively to buyers of parts & EQUIPMENT.
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	EQUIPMENT.NET is the most effective way to reach buyers from all over the plant. Once becoming a member (supplier) you will have the opportunity to reach and gain from the collective strength of our 86,000 Monthly Visitors and 29,068 already registered buyers of Parts Equipment. See Benefits

Member (supplier) application Form: Please fill out form below for evaluation

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Step 1: Contact Information

* First Name:

* Last Name:

* E-Mail:

* Phone:

* Fax:

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Step 2: Company Information

* Company Name:

* Address:

* City:

State/Province:

* Zip Code:

* Country:

* Website Address:

* What is your line of business:

* Are parts & equipment you have:

* What industry describes your business:

* Type of organization:

* Type of business:

* Total employees:

* Describe Your Products & Services
Please provide a short description of the company and the products/services provided. 300 Character limit.

Company Banner or logo
Enter the URL of your banner

Banner/Logo size: 468X60 Pixels

(example: http://www.equipment.net/mybanner.gif)

Enter Above Verification Code

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All submissions are subject for approval. One of our account representative will contact you to discuss your application further. $59.97 monthly fee applies to approved applicant suppliers.

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EQUIPMENT.NET, INC.		Member (supplier) application Form: Become a member (supplier) of the most powerful parts & equipment forum
561-999-9115
561-999-9115