Bid Application
WHOLESALE BID APPLICATION
NAME___________________________ADDRESS_____________________________
CITY_________________STATE_________________ZIP CODE________________
TELEPHONE NO.___________________CELL PHONE NO._____________________
EMAIL ADDRESS______________________________________________________
DEALER NO._______________________EXPIRATION DATE___________________
BANK NAME__________________________BRANCH__________________________
CITY_________________STATE_________________ZIP CODE________________
TYPE OF ACCOUNT________________ACCT NO.____________________________
I understand that I must be in good financial standing with
RI Suresky & Son in order to be eligible for participation
in the bid sale.
SIGNED_______________________________DATE__________________________
NAME_________________________________
(Please Print)
*Must provide copy of Wholesale Certificate
