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4012 Benchmark Trail, Brooksville, FL 34604
Our Web Site Address:
Office & Tech (352)
Our online store:
Toll Free Order Line (888) SLOTCAR
Online orders at:
24 Hour Fax Line (352)
For Info Contact:
Thank you for your interest in Crawley Distributing Inc. Before we can process your account we require the following information.
Type of Business
(Please Check One):Corporation LLC Partnership Sole Proprietorship Club
Name and Addresses of Principals
In order to substantiate your account as soon as possible, we will need trade references (Distributors and/or manufactures in the slot car racing industry only).
For Corporations Only
I hereby guarantee any indebtedness to "
Crawley Distributing Inc." incurred by:
The Corporate Application section must be signed by the owners as personal guarantors of all purchases made by the corporation in order to receive a positive review. This section does not have to be signed if you wish to only be on a CREDIT CARD basis.
Bank Information (All Accounts)
Credit/Debit Card Information
Please do not fill out this information until requested to do so after your account has been approved
Type of card
(Please Check One): Visa MasterCard Discover
Title of card (Name of holder):
Expiration date: Security code:
Please list any and all personal that are authorized to call and/or order for this establishment
Although we do not require the following information we ask you fill so we can use it for customer referral purposes.
Style of Track(s)