Pearlman Buying Group - Middlebury, CT
Optical Buying Group CT

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You are about to become a member of the Pearlman Buying Group, allowing you great financial and service benefits at ABSOLUTELY NO COST TO YOU! Please fill out the simple form to the right. Your account information will be forwarded to you within 48 hours.

In the meantime, go to our Vendor Info page to familiarize yourself with our family of vendors. Each vendor has been carefully selected based on our high standards for product quality, customer service, and pricing. You can rest assured that when you are working with a Pearlman Buying Group vendor, you are dealing with the best of the best.

Buying group for Opticians Buying group for Opticians

Practice Name

Optician  OD  MD

Owner's Name

Phone #

Business Street Address

Fax #

City

P.O. Box

State

 

Zip Code

 

Owner's Social Security #

 

Home Address

Home Phone

City

 

State

 

Zip Code

 

Corporations Please Complete This Section

Federal Tax ID #

 

Officer 1

Officer 2

Home Address 1

Home Address 2

City, State, Zip Code

City, State, Zip Code

Bank References:

Bank Name

Account #

Street Address

City, State, Zip Code

Contact Name

Contact Title

Contact Phone

   

Trade References:

Company Name

Account #

Contact Name

Telephone #

Street Address

City, State, Zip Code

Company Name

Account #

Contact Name

Telephone #

Street Address

City, State, Zip Code

Company Name

Account #

Contact Name

Telephone #

Street Address

City, State, Zip Code

Account Information:

Email (this will be your username)

Password (8 characters)

 I agree to the Terms and Conditions

200 Vendors to choose from
Middlebury, CT

 
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