Section 7.2, Authorized Servicing Dealer & Manufacturer's Representatives Form

Servicing Dealer Information

DEALER NAME:

Contrax Furnishings

DEALER FEID NO.:

593710754

MFMP / SPURS VENDOR NO.:

[Enter Dealer's MFMP / SPURS Vendor Number, if Known]

STREET ADDRESS:

690 NE 23 rd. Ave.

CITY, STATE and ZIP:

Gainseville, FL 32609

INTERNET ADDRESS:

http://www.contraxfurn.com

TELEPHONE NO.:

[Enter Dealer's Main Telephone Number]

TOLL-FREE NO.:

(800) 699-7516

FAX NO.:

(877) 373-0622

Manufacturer Representation

MANUFACTURER'S REPRESENTATIVE NAME:

[Enter Manufacturer's Representative Name]

TITLE:

[Enter Manufacturer's Representative Title]

STREET ADDRESS:

[Enter Manufacturer's Representative Street Address]

CITY, STATE and ZIP:

[Enter Manufacturer's Representative City, State and ZIP]

E-MAIL ADDRESS:

[Enter Manufacturer's Representative E-Mail Address]

TELEPHONE NO.:

[Enter Manufacturer's Representative Telephone Number]

TOLL-FREE NO.:

[Enter Manufacturer's Representative Toll-Free Telephone Number, if Available]

CELL PHONE NO.:

[Enter Manufacturer's Representative Cell Phone Number (Optional)]

FAX NO.:

[Enter Manufacturer's Representative Fax Number]

GORAPHIC AREA OF TERRITORY:

Entire state of Florida

NOTES:                                                                                                                                  

Note:  Please make sure the Ordering Instructions information provided above matches the MyFloridaMarketPlace ("MFMP") Vendor Registration account information (http://vendor.myfloridamarketplace.com/).                                                                                       

PLEASE DUPLICATE THIS FORM ON ADDITIONAL TABS AS NEEDED

 

Section 7.2, Authorized Servicing Dealer & Manufacturer's Representatives Form

Servicing Dealer Information

DEALER NAME:

Hertz Furniture Systems

DEALER FEID NO.:

22-3795977

MFMP / SPURS VENDOR NO.:

[Enter Dealer's MFMP / SPURS Vendor Number, if Known]

STREET ADDRESS:

95 Mckee Drive

CITY, STATE and ZIP:

Mahwah, New Jersey 07430

INTERNET ADDRESS:

http://www.hertzfurniture.com

TELEPHONE NO.:

201-529-2100

TOLL-FREE NO.:

800-526-4677

FAX NO.:

800-842-9290

Manufacturer Representation

MANUFACTURER'S REPRESENTATIVE NAME:

[Enter Manufacturer's Representative Name]

TITLE:

[Enter Manufacturer's Representative Title]

STREET ADDRESS:

[Enter Manufacturer's Representative Street Address]

CITY, STATE and ZIP:

[Enter Manufacturer's Representative City, State and ZIP]

E-MAIL ADDRESS:

[Enter Manufacturer's Representative E-Mail Address]

TELEPHONE NO.:

[Enter Manufacturer's Representative Telephone Number]

TOLL-FREE NO.:

[Enter Manufacturer's Representative Toll-Free Telephone Number, if Available]

CELL PHONE NO.:

[Enter Manufacturer's Representative Cell Phone Number (Optional)]

FAX NO.:

[Enter Manufacturer's Representative Fax Number]

GORAPHIC AREA OF TERRITORY:

[Enter Manufacturer's Representative Georaphic Area of Territory]

NOTES:                                                                                                                                  

Note:  Please make sure the Ordering Instructions information provided above matches the MyFloridaMarketPlace ("MFMP") Vendor Registration account information (http://vendor.myfloridamarketplace.com/).                                                                                        

PLEASE DUPLICATE THIS FORM ON ADDITIONAL TABS AS NEEDED

 

Section 7.2, Authorized Servicing Dealer & Manufacturer's Representatives Form

Servicing Dealer Information

DEALER NAME:

YSRG

DEALER FEID NO.:

20-5156094

MFMP / SPURS VENDOR NO.:

[Enter Dealer's MFMP / SPURS Vendor Number, if Known]

STREET ADDRESS:

P.O. Box 565492

CITY, STATE and ZIP:

Pinecrest, FL 33256

INTERNET ADDRESS:

http://www.ysrgroup.com

TELEPHONE NO.:

(305) 781-3113

TOLL-FREE NO.:

[Enter Dealer's Main Toll-Free Telephone Number, if Available]

FAX NO.:

(305) 254-8349

Manufacturer Representation

MANUFACTURER'S REPRESENTATIVE NAME:

[Enter Manufacturer's Representative Name]

TITLE:

[Enter Manufacturer's Representative Title]

STREET ADDRESS:

[Enter Manufacturer's Representative Street Address]

CITY, STATE and ZIP:

[Enter Manufacturer's Representative City, State and ZIP]

E-MAIL ADDRESS:

[Enter Manufacturer's Representative E-Mail Address]

TELEPHONE NO.:

[Enter Manufacturer's Representative Telephone Number]

TOLL-FREE NO.:

[Enter Manufacturer's Representative Toll-Free Telephone Number, if Available]

CELL PHONE NO.:

[Enter Manufacturer's Representative Cell Phone Number (Optional)]

FAX NO.:

[Enter Manufacturer's Representative Fax Number]

GORAPHIC AREA OF TERRITORY:

Entire state of Florida

NOTES:                                                                                                                                  

Note:  Please make sure the Ordering Instructions information provided above matches the MyFloridaMarketPlace ("MFMP") Vendor Registration account information (http://vendor.myfloridamarketplace.com/).                                                                                       

PLEASE DUPLICATE THIS FORM ON ADDITIONAL TABS AS NEEDED

 

Section 7.2, Authorized Servicing Dealer & Manufacturer's Representatives Form

Servicing Dealer Information

DEALER NAME:

A.T.D. American

DEALER FEID NO.:

23-1921196

MFMP / SPURS VENDOR NO.:

[Enter Dealer's MFMP / SPURS Vendor Number, if Known]

STREET ADDRESS:

135 Greenwood Ave.

CITY, STATE and ZIP:

Wyncote, PA 19095

INTERNET ADDRESS:

http://www.atd.com

TELEPHONE NO.:

(215) 576-1000

TOLL-FREE NO.:

[Enter Dealer's Main Toll-Free Telephone Number, if Available]

FAX NO.:

(215) 690-3614

Manufacturer Representation

MANUFACTURER'S REPRESENTATIVE NAME:

[Enter Manufacturer's Representative Name]

TITLE:

[Enter Manufacturer's Representative Title]

STREET ADDRESS:

[Enter Manufacturer's Representative Street Address]

CITY, STATE and ZIP:

[Enter Manufacturer's Representative City, State and ZIP]

E-MAIL ADDRESS:

[Enter Manufacturer's Representative E-Mail Address]

TELEPHONE NO.:

[Enter Manufacturer's Representative Telephone Number]

TOLL-FREE NO.:

[Enter Manufacturer's Representative Toll-Free Telephone Number, if Available]

CELL PHONE NO.:

[Enter Manufacturer's Representative Cell Phone Number (Optional)]

FAX NO.:

[Enter Manufacturer's Representative Fax Number]

GORAPHIC AREA OF TERRITORY:

Entire state of Florida

NOTES:                                                                                                                                  

Note:  Please make sure the Ordering Instructions information provided above matches the MyFloridaMarketPlace ("MFMP") Vendor Registration account information (http://vendor.myfloridamarketplace.com/).                                                                                       

PLEASE DUPLICATE THIS FORM ON ADDITIONAL TABS AS NEEDED

 

Section 7.2, Authorized Servicing Dealer & Manufacturer's Representatives Form

Servicing Dealer Information

DEALER NAME:

Signature Products

DEALER FEID NO.:

20-31099822

MFMP / SPURS VENDOR NO.:

[Enter Dealer's MFMP / SPURS Vendor Number, if Known]

STREET ADDRESS:

2650 Pemberton Dr.

CITY, STATE and ZIP:

Apopka, FL 32703

INTERNET ADDRESS:

http://www.signatureschoolproducts.com

TELEPHONE NO.:

(407) 299-0896

TOLL-FREE NO.:

(800) 432-6190

FAX NO.:

(800) 854-8861

Manufacturer Representation

MANUFACTURER'S REPRESENTATIVE NAME:

[Enter Manufacturer's Representative Name]

TITLE:

[Enter Manufacturer's Representative Title]

STREET ADDRESS:

[Enter Manufacturer's Representative Street Address]

CITY, STATE and ZIP:

[Enter Manufacturer's Representative City, State and ZIP]

E-MAIL ADDRESS:

[Enter Manufacturer's Representative E-Mail Address]

TELEPHONE NO.:

[Enter Manufacturer's Representative Telephone Number]

TOLL-FREE NO.:

[Enter Manufacturer's Representative Toll-Free Telephone Number, if Available]

CELL PHONE NO.:

[Enter Manufacturer's Representative Cell Phone Number (Optional)]

FAX NO.:

[Enter Manufacturer's Representative Fax Number]

GORAPHIC AREA OF TERRITORY:

Entire state of Florida

NOTES:                                                                                                                                  

Note:  Please make sure the Ordering Instructions information provided above matches the MyFloridaMarketPlace ("MFMP") Vendor Registration account information (http://vendor.myfloridamarketplace.com/).                                                                                       

PLEASE DUPLICATE THIS FORM ON ADDITIONAL TABS AS NEEDED

 

Section 7.2, Authorized Servicing Dealer & Manufacturer's Representatives Form

Servicing Dealer Information

DEALER NAME:

Adirondack Direct

DEALER FEID NO.:

23-1921196

MFMP / SPURS VENDOR NO.:

[Enter Dealer's MFMP / SPURS Vendor Number, if Known]

STREET ADDRESS:

31-01 Vernon Blvd.

CITY, STATE and ZIP:

Long Island City, New York 11106

INTERNET ADDRESS:

http:www.adirondack.com

TELEPHONE NO.:

TOLL-FREE NO.:

(800) 221-2444

FAX NO.:

(800) 477-1330

Manufacturer Representation

MANUFACTURER'S REPRESENTATIVE NAME:

[Enter Manufacturer's Representative Name]

TITLE:

[Enter Manufacturer's Representative Title]

STREET ADDRESS:

[Enter Manufacturer's Representative Street Address]

CITY, STATE and ZIP:

[Enter Manufacturer's Representative City, State and ZIP]

E-MAIL ADDRESS:

[Enter Manufacturer's Representative E-Mail Address]

TELEPHONE NO.:

[Enter Manufacturer's Representative Telephone Number]

TOLL-FREE NO.:

[Enter Manufacturer's Representative Toll-Free Telephone Number, if Available]

CELL PHONE NO.:

[Enter Manufacturer's Representative Cell Phone Number (Optional)]

FAX NO.:

[Enter Manufacturer's Representative Fax Number]

GORAPHIC AREA OF TERRITORY:

Entire state of Florida

NOTES:                                                                                                                                  

Note:  Please make sure the Ordering Instructions information provided above matches the MyFloridaMarketPlace ("MFMP") Vendor Registration account information (http://vendor.myfloridamarketplace.com/).                                                                                       

PLEASE DUPLICATE THIS FORM ON ADDITIONAL TABS AS NEEDED