BECOME A DEALER

Please complete and submit the form below if you are interested in becoming a Zeigler's Distributor dealer. A representative will contact you upon submittal.

Billing Address

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Shipping Address

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Zip(*)
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Sales Tax No.
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Brand Interest
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Monthly Mailing
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Enter the anti-spam characters you see in the Word Box.(*)

For General Instructions, Credit Application and Pennsylvania Exemption Certificate, please download the forms below. Submit completed forms via fax: 717-675-2217 or email to This email address is being protected from spambots. You need JavaScript enabled to view it..

pdfView Credit Application PDF

zipDownload Credit Application File