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Browse CatalogsSome of the forms listed below can be filled out online and submitted directly to the appropriate Dultmeier Sales department, otherwise you can download, print and manually fill out and mail, fax or email the PDF version of the form to us:
Dultmeier Sales • PO Box 45565 • Omaha, NE 68145-0565
Fax: (402) 333-5546 • Email: accounting@dultmeier.com
Commercial Account Application
To apply for a Credit Account with Dultmeier Sales please fill out theOnline Commercial Account Application or Download PDF
If you are tax exempt, please also fill out the Uniform Sales & Use Tax Certificate - Multijurisdiction (pdf)
Please note that you may always order at any time by using your credit card or C.O.D.
Government Account Application
To apply for a Credit Account with Dultmeier Sales please fill out theGovernment Account Application (pdf)
Please note that you may always order at any time by using your credit card or C.O.D.
Statement of Ultimate Consignee and Purchaser / Declaración de Destinatario Final Y Comprador
In order to comply with U.S. Department of Commerce, Bureau of Industry and Security, rules and regulations, we must gather end-user information prior to accepting your order.
Fill out the English version of the Online Ultimate Destination Form o en Español: Al Final del Uso Formulario
Tax Certification
Tax waiver form for purchases for wholesale, resale, ingredients or components of a new product or service; purchases to be resold, leased, or rented in the normal course of business. Please fill out the Tax Certification form, including your State Registration, Seller's State State Registration, Seller's Permit/ID Number of Permit, or ID Number of Purchaser.
Uniform Sales & Use Tax Certificate - Multijurisdiction (pdf)
Streamlined Tax Certification
Alternate, streamlined tax certification form that can be used in these states only: AR, IA, IN, KS, KY, MI, MN, NC, ND, NE, NJ, NV, OH, OK, RI, SD, TN, UT, VT, WA, WV, WY. This certification is valid until cancelled by the customer or revoked by the state.
Streamlined Sales & Use Tax Agreement - Certificate of Exemption (pdf)
Resale Dealer Eligibility
A questionnaire to establish the eligibility of a company as a legitimate resale dealer according to the definitions set forth by the National Distributor Associations.
Online Dealer Eligibility form or Download PDF
Illinois Ag Exempt
Form ST-587 Machinery & Equipment Exemption Certificate (pdf)
Illinois Certificate of Resale
CRT-61 Certificate of Resale form. (pdf)
Request to Pay Dultmeier Invoices with Credit Card
If you would you like to pay for your current Dultmeier Invoices by credit card, please fill out the
Online Request to Pay Dultmeier Invoices with Credit Card form or Download PDF
We will keep your card information on file for future purchases if requested.
Authorization for Dultmeier to keep Credit Card on File
Would you prefer to pay for your orders by credit card? Please fill out the following form to authorize Dultmeier Sales to use your credit card to pay all the invoices for shipments on your account:
Online Authorization for Dultmeier to keep Credit Card on File or Download PDF
Mail Order
Fill out the Mail Order form (pdf) if you prefer to fax or mail your orders in.
Returns Policy
Authorization is required prior to returning products. Contact our Customer Service Department for a Return Merchandise Authorization (RMA):
Phone: 1-800-228-9666 ext. 5531 • Email: customerservice@dultmeier.com • Fax: 402-333-5546
Please review our Returns Policy for additional important information.
Leasing
If you would like information on leasing, click the link provided below. Dultmeier Sales is not promoting Marlin Leasing, we are simply providing a source of information to help you in your decision making process. You can check your telephone directory for more leasing companies.
Click Here for the Lease Calculator.
Sales Questionnaire for Hose & Piping
Fill out the Online Sales Questionnaire for Hose & Piping or Download PDF
Worksheet for Steel or Fiberglass Tank Fitting Locations
Tank Fitting Worksheet (pdf)
