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    1. CHAPARRAL MACHINERY
      Sales Agent Registration Form

      To register as a sales agent, print this page, fill in your information, sign the form, and fax.
      To: Dave Stilley, Chaparral Machinery (972) 313-1984

      Back to
      Sales Agent Page

      An asterisk (*) indicates required information.

      Information about you (Sales Agent):
      *Your Name:
      _____________________________________________________________
      Your Company/Organization:
      _____________________________________________________________
      *Your Address:
      _____________________________________________________________
      *Your City, State, Zip:
      _____________________________________________________________
      Your Phone:
      _____________________________________________________________
      Your Fax and/or E-mail:
      _____________________________________________________________
      Information about the Prospect:
      *Prospect's Name:
      _____________________________________________________________
      *Prospect's Company/Organization:
      _____________________________________________________________
      *Prospect's Address:
      _____________________________________________________________
      *Prospect's
      City, State, Zip:

      _____________________________________________________________
      *Prospect's Phone:
      _____________________________________________________________
      Prospect's
      Fax and/or E-mail:

      _____________________________________________________________
      *What type of product(s) is the prospect considering? Check all that apply:
      Vertical Machining Center Horizonal Machining Center CNC Lathe
      Questions? Comments? _____________________________________________________________
      _____________________________________________________________

      We MUST have your written acknowledgement of these conditions and terms, including your fee expectations,
      prior to the date of the first price quotation and prior to any negotiations.

      Please register me as a Chaparral Machinery sales agent for the above named prospect.

      _________________________________________ Date: __________________________
      Signature

      人真做人爱视频在线

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