Celebrating Our 95th Anniversary!

Now part of the Preferred Pump Family!

Fackbook

Dealer Forms

Customer Application

If you would like to apply for credit, please click on the following "Credit Application" link. Complete and sign the form and return it to us.

Note: Burdick & Burdick operates as a wholesale distribution company. Many of the products we sell cannot be sold outside of our factory designated sales territories and/or to customers who are not licensed and trained for the particular product’s professional installation. The information you supply to us on your credit application determines your dealer eligibility and your pricing level.

Click here for "Credit Application" (PDF)

Click here for "Credit Application" (.doc)

Tax Exemption Forms

If you will be claiming a Texas Sales Tax Exemption, please download and complete the appropriate form:

Texas Sales and Use Tax Resale Certificate (PDF)

Texas Agricultural Sales and Use Tax Exemption Certification (PDF)

Credit Card Purchases

If you are making a purchase over the telephone using a credit card, please click on the "Credit Card Authorization Form " below. Complete the form and return it to us along with a copy of the credit card, front and back, and a copy of the credit card holder's photo ID.

Click here for "Credit Card Authorization Form" (PDF)

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