On-Line Dealer Application - Amish Gazebo Shop

Dealer Application


* = Required Field
*First Name:**
*Last Name:**
*Company Name:**
*Company Structure:**
*Federal EIN or SSN:**
Duns:
*Address:**
Address Line 2:
*City:**
*State:**
*Zip Code:**
Country:
*Home Phone:**
*Work Phone:**
*Fax Number:**
*E-mail:**
*Preferred Contact Method:**
City & State of Interest:

Bank Information
*Name of Branch:**
*Branch Address:**
Branch Address Line 2:
*City:**
*State:**
*Zip Code:**
*Telephone:**
*Fax Number:**
*Contact:**
*Type of Account:**
*Account Number:**


Trade References
*Name:**
*Address:**
Address Line 2:
*City, State, Zip:**
*Telephone:**
*Fax Number:**
*Contact:**
*Type of Account:**
*Account Number:**

*Name:**
*Address:**
Address Line 2:
*City, State, Zip:**
*Telephone:**
*Fax Number:**
*Contact:**
*Type of Account:**
*Account Number:**

*Name:**
*Address:**
Address Line 2:
*City, State, Zip:**
*Telephone:**
*Fax Number:**
*Contact:**
*Type of Account:**
*Account Number:**

Terms and Conditions
BY CLICKING "SUBMIT INFO" ON THIS CREDIT APPLICATION, APPLICANT AGREES TO THE TERMS OF LANCASTER COUNTY BARNS AS STATED ON OUR INVOICES. APPLICANT AGREES TO NOTIFY LCB OF ANY MATERIAL CHANGES IN ABOVE STATEMENTS. APPLICANTS CERTIFIES ALL STATEMENTS ARE CORRECT. APPLICANT AGREES TO PAY ALL COSTS INCLUDING COLLECTION FEES AND/OR ATTORNEY FEES REQUIRED SHOULD ACCOUNT COME IN DEFAULT. APPLICANT AUTHORIZES THE RELEASE OF CREDIT AND BANKING INFORMATION TO LCB.

Featured Testimonials

Dear Jeremy,

The barn was delivered last week and is sitting next to the shed we purchased at Home Depot. The price difference was about $200. The quality and workmanship - priceless. Thank you so much for the pride you take in the construction of your barns - it shows and is appreciated - I'll contact you when Home Depot's blows
down to purchase another.

Also a quick note on your delivery personal - who was very genuine and helpful man and is a refelction on your company.

Thanks, Kevin & Lucille
Richboro PA