U.S. Rack, Inc.

U.S. Rack, Inc., Madera, California
	web partner application form

Welcome . . .

Step 1 of 3 . . .

Thank you for your interest in the U.S. Rack WEB PARTNER program. We do appreciate the time you are taking to fill out this application.

The WEB-PARTNER program at U.S. Rack, Inc. is designed for you, the dealer. You will have the capability to add a link to your web site and, when clicked, be taken to custom designed pages for your company. Although the racks shown are from U.S. Rack, Inc., no reference will be made to U.S. Rack. Your company information will be shown on the pages. This is done to allow you to give your customer a deeper understanding of the rack they are interested in.

Once you are finished with the application and submit it, you will receive an automatically generated link to put on your web site. This is the link you must use to access your WEB PARTNER site.

PLEASE NOTE. . .Very Important: Please fill in all fields for complete and proper activation of your WEB PARTNER site. If you leave out some information, the site will put nothing in the areas where it reads no data from the database. This will not be desirable conditions when you show a customer the racks on the site. Be as accurate as you can.

Please read our Terms and Conditions...click here

To the right side of each field, there is a small explanation with reference to that particular field.

Company Name:

The name of your retail store.

Legal Name:

Corporate or Parent company name

Company Shipping Address_1:

The shipping address, line one.

Company Shipping Address_2:

The shipping address, line 2, if needed.

Shipping City:

City to be shipped to.

Shipping State:

State to be shipped to.

Shipping Zip Code:

Zip Code to be shipped to.

Company Mailing Address:

If different, enter your mailing address here.

Mailing City:

Mailing city.

Mailing State:

Mailing state.

Mailing Zip Code:

Mailing Zip Code.

Company Email Address:

General email address for your company.

Phone Number:

- - , x

Phone number of the retail store.

FAX Number:

- -

Fax number of the retail store.

Owner/Contact Name:

Person to contact with reference to any orders placed.

Owner/Contact Email Address:

Email address for the above contact.

Owner/Contact Phone Number:

- - , x

Phone number for the above contact.

Miscellaneous Information:

Any other information we need to be aware of.

Date Company Started:

Format using mm/dd/yyyy

# of Years at Current Location:

The length of time you have been where you are located now, in years

Resale Number:

Your retail resale number goes here

Federal Tax ID Number:

Your federal TAX ID goes here

Customer Order Landing URL:

Enter the full URL.... example =
http://www.machoracksfromus.com/store/

This is the cart page for your storefront. If you do
not have a cart and/or web site, please leave this
field blank.

Your U.S. Rack WEB Partner Program includes a special retail storefront your customers can reach to shop for their racks and rack accessories. This section will be designed with the information you enter into this application, and the basic rack information from U.S. Rack. Nowhere on the pages will there be any references to U.S. Rack.

required

Agreement: As a U.S. Rack dealer/distributor, I (this company) agree to pay for all products by valid credit card, the information for which will be provided at the time of the first order.

Please check only one item below:

I want U.S. Rack to keep the credit card information securely
on file for future orders.

I want to provide the credit card information each separate time I place an order.

Product Pricing:

Please enter your retail price for each item below. This is the price you will be selling the item for, and will be listed on the site. Use the format xxx.xx , with no dollar sign, in each field. The script on the site will insert the dollar sign automatically.

For both the E-Commerce and the WEB Partner Sites, freight is prepaid by U.S. Rack on all racks listed except the Vanzin Rack in Tier 3.

Item:	MSRP:	MAP:	Cost:	Your Retail Price:	Rack Information:
TIER 1					click below to reference each rack
Rail Rack (fleetside beds): A2007-2U	$479.95	$399.00	$305.00	$	A2007-2U
Rail Rack (track systems): A2007-2TRA	$479.95	$399.00	$305.00	$	A2007-2TRA
Three Ladder Rack: A2004-5	$299.95	$259.00	$198.00	$	A2004-5
Strong Ender Ladder Rack: A2002-5FS	$249.95	$199.00	$152.00	$	A2002-5FS
Strong Ender Ladder Rack: A2002-5TRA	$269.95			$	A2002-5TRA
Hawaiian Sawhorse Rack: 2003-3	$239.95	$199.00	$152.00	$	2003-3
Super Clamps (set of 2): 2006-2	$54.95	$39.00	$29.00	$	2006-2
TIER 2
Canopy Rack (short beds): 2002-1R	$279.95	$239.00	$193.00	$	2002-1R
Canopy Rack (long beds): 2002-1L	$349.95	$299.00	$241.00	$	2002-1L
Stake Pocket Rack (regular, short bed): 2005-3RS	$489.95	$399.00	$305.00	$	2005-3RS
Stake Pocket Rack (tall, short bed): 2005-3TS	$509.95	$429.00	$347.00	$	2005-3TS
Stake Pocket (regular, long bed) 2005-3RL	$509.95	$429.00	$347.00	$	2005-3RL
Stake Pocket (tall, long bed) 2005-3TL	$539.95	$449.00	$363.00	$	2005-3TL
Rail Rack 2 (fleetside, short bed): 2007-2UXS	$669.95	$549.00	$443.00	$	2007-2UXS
Rail Rack 2 (track, short bed): 2007-2UTRAX	$669.95	$549.00	$443.00	$	2007-2UTRAX
Rail Rack 2 (fleetside, long bed): 2007-2UXL	$699.95	$599.00	$483.00	$	2007-2UXL
Rail Rack 2 (track, long bed): 2007-2UTRAXF	$699.95	$599.00	$483.00	$	2007-2UTRAXF
Roller Rack: 2007-3	$279.95	$239.00	$193.00	$	2007-3
Sidewinder Ratchet rack: 2007-4	$299.95	$249.00	$201.00	$	2007-4
Easy Loader Ladder Rack: 2008-3	$249.95	$199.00	$161.00	$	2008-3
Easy Loader Ladder Rack: 2008-3HB	$279.95	$239.00	$193.00	$	2008-3HB
Dual Rack (fleetside bed): 2009-3FS	$479.95	$399.00	$305.00	$	2009-3FS
Dual Rack (track systems): TRA	$479.95	$399.00	$305.00	$	2009-3TRA
TIER 3
Vanzin Truck Rack: VSN-00	$619.95	$499.00	$381.00	$	VSN-00

WEB Site Name:

Company Web Site Address:(URL)

The full address to your company web site, home page....example: http://www.myplace.com

Username:

Please select a username you wish to use to access your WEB PARTNER web site.

Password:

Please select a password to go with the above username.

required

Assertion: I assert, to the best of my knowledge, that all information in this application is true and accurate.

required E-Signature:

By signing this e-signature, you agree to abide by the Terms and Conditions as laid out by U.S. Rack, Inc.

Date:

Thursday, May 17, 2012