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New Account Application

Thank you for your interest of doing business with Genuine Materials Inc. The information provided below is for internal use and is strictly confidential. Please note that Genuine Materials Inc. is a wholesale vendor who deals with accounts and does not sell directly to the public or release pricing.

Please FAX or EMAIL the completed Resale Authorization Form (if applicable) back to us. Our fax number is (909) 480-0747. Email address is

For Spanish version, please click below. | Para la versión en español, haga clic a continuación.

Authorized Purchaser(s):

How did you hear about us?

I hereby certify that the above statements are true and accurate. I understand that any false statements may disqualify me for benefits.

Thank you! We'll be in touch.

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