Matala Dealer Form

Please enable JavaScript in your browser to complete this form.

- Step 1 of 2

Please Note: To qualify as a certified Matala dealer you must be in the pond, landscape, aquaculture, or septic industries.

Business Name *

Name *

First

Last

Phone *

Website / URL

Accounts Payable Email *

Email (Tracking numbers, BOLs, Freight shipping info): *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

How Many Persons Are Authorized to Place Orders? *

Person 1 Authorized to Place Orders *

First

Last

Person 2 Authorized to Place Orders

First

Last

Person 3 Authorized to Place Orders

First

Last

Person 4 Authorized to Place Orders

First

Last

Person 5 Authorized to Place Orders

First

Last

Federal ID#

Type Of Business

Contractor
Retail

Contractor License Number *

Your State Resale Exemption Certificate Number

MAPP Policy Agreement

MatalaUSA requires a strict adherence to Our MAPP Policy. Please read the policy as it may effect your ability to sell matala products

Agrement *

I agree with the Terms of the Above Mapp Policy

Does Your Business Have A Valid California Sales Tax Exemption Certificate *

Please complete the form if you have a california resale certificate and you do not want matalausa to collect california sales tax on your behalf for orders shipped from our warehouse to california addresses. Please note: if you do not have a california resale certificate, we are then required to charge sales tax on any orders to california addresses.

Valid California Permit Number

I have read and understand the following: For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more. *

I have read and understood the above

I have read and understood the above

Please note: if you do not have a california resale certificate, we are then required to charge sales tax on any orders to california addresses.

Name of Purchaser *

First

Last

Printed Name of Person Signing *

Title of Person Signing

Address of Purchaser

Address Line 1

Address Line 2

City

State

Zip Code

Telephone Number

Date *

Signature *

Clear Signature

Email *

+1(949)273-8888

Filter Media

Pond Filters

Ultaviolet Clarifiers

Pond Vacuum Series

Aeration

Koi Handling

Air Diffusers

Water Pumps

Fountains

Hose, Tubing & Valves

Replacement Parts