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Thank you for your interest in becoming a Bematech customer. We are confident you are making a solid business decision and pledge to help and support you in any way possible.

Next Step: Print the following forms and fax them to 1-866-608-4512. We will process all in accounts within one (1) hour if the forms are received from 9:00 am to 4:30 pm Monday through Friday. If you have a need for an expedited order call Bematech right now and we will do all we can to make it happen!

Everybody Wins with Bematech! 1-800-918-2672

  • Form 1: Terms of Sale and Security Agreement: Please sign and fax back (Mandatory)
  • Form 2: Bematech Resale Certificate Department of Revenue: Please fill out and fax back with STATE ISSUED Reseller Certificate (Mandatory)
  • Form 3: Bematech Dealer Application Form: Please fill out and fax back. (Mandatory)
  • Form 4: Bematech Credit Card Authorization Form: Please fill out and fax back with a photocopy of both sides of the credit card. Needed only if you plan to pay by Credit Card.
  • Form 5: Bematech Personal Credit Statement Form: Please fill out and fax back. Needed if Business Credit is not satisfactory to garner credit terms.
  • Form 6: Bematech Personal Guaranty Form: Needed if Business Credit is not satisfactory to garner credit terms.
PLEASE NOTE: YOU SHOULD BE FAXING BEMATECH A MINIMUM OF THREE (3) FORMS (A TOTAL OF 9 PAGES), PLUS A COPY OF YOUR STATE ISSUED RESALE CERTIFICATE. ~ Thank you! Any questions please call 1-800-918-2672.




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