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D23 2025 American Standard Dealer Program Registration
D23 2025 American Standard Dealer Program Registration
Ferguson Account Number
(Required)
Company Name
(Required)
Primary Contact Name
(Required)
Primary Email Address
(Required)
Secondary Email Address
Territory Manager Name
(Required)
PO# for Billing
State
(Required)
I am registering for the 2025 Ferguson-Am. Std Dealer Program at the following level:
(Required)
Platinum: Annual Investment = $5,500
Gold: Annual Investment = $3,800
Silver: Annual Investment = $1,700
Bronze: Annual Investment = $700
2025 American Standard Equipment Purchase Goal
(Required)
2025 Mitsubishi Electric Equipment Purchase Goal
(Required)
2025 Parts and Supplies Purchase Goal
(Required)
Yes, I am participating in the 2025 Ferguson-Am. Std Dealer Program
(Required)
Yes
I agree to participate in the program level selected for calendar year. I understand the billing process outlined by my Territory Manager. This agreement is subject to termination or for modification at any time by Ferguson HVAC or dealer, but such termination or modification shall not affect rights hereunder with respect to sales or contractual commitments made prior to the time of such termination or modification.
Date
(Required)
MM slash DD slash YYYY
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