Interested in selling any of the products The Lehigh Group offers? Please complete this form. You will then be contacted by a sales representative. *Required Fields
*Name:
*Tax ID#:
*Company Name:
*Address:
*City:
*State/Province:	AA AE AK AL AP AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY -- AB BC MB NB NW ON PQ SK YT NS NF
*Country:
*Zip:
*Phone:
*Fax:
*E-mail:
Web Address

Class of Trade?
Retailer
Independent Retailer
Wholesaler
Chain - # of stores
Co-Op - Name of Co-op
Mail Order
E-Retailer

Primary Business
Hardware
Housewares
Farm Supply
Automotive
Sporting Goods
Lawn & Garden
Lumber/Building Materials
Other - Please indicate

Sales Volume
Under $500,000
$500,000 - $1 million
$1 million - $5 million
$5 million - $10 million
Over $10 million

Products sold at this location: (check all that apply)
Rope/cord/twine
Hangers/hooks/organizers
Tool racks
Peg hooks
Work movers/roller stands
Sawhorses
Power tool stands
Workbenches
Automotive tie downs/tow straps

*What Lehigh Group brands are you most interested in? (check all that apply)
Crawford
Lehigh
Storehorse

Who is your primary vendor now for the categories or products you are interested in?

How did you find out about The Lehigh Group?

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