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Dealer Account

Complete this form to set up your Dealer Account on www.rugdoctor.com.

You will use this account to order parts for machines covered by warranty and receive dealer-discounted pricing.

Company Name(Required)

Company Contact(Required)

First Last

Company Phone(Required)

Company Website

Is your company Tax Exempt?(Required)

Yes

Tax Exempt Certificate(Required)

Max. file size: 50 MB.

Company Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Company Billing Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Dealer ID(Required)

Type the Dealer ID number listed on the letter you received from us.