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Forms
Some 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 the

Online 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 the

Government Account Application (pdf)

Please note that you may always order at any time by using your credit card or C.O.D.



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)



Statement of Ultimate Consignee & 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 or Download PDF

En Español: Al Final del Uso Formulario o Descargar 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



Return Merchandise Authorization (RMA)


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.comFax: 402-333-5546

Please review our Returns Policy for additional important information.



Mail Order Form


Fill out the Mail Order form (pdf) if you prefer to fax or mail your orders in.



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)



Meter Control Ordering Worksheet


Fill out the Online Meter Control Ordering Worksheet















   
   

 
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