RHM - Contact Us

Requires P.O.

Tax Exempt

Estimated Annual Purchases

Certificate No.

We must have a signed Tax Certificate sent by mail

Accept Backorders

Accept Partial Shipments

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We apologize for our web site currently under construction, please check back frequently for updates. Thank you.

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Business Hours:

Monday through Friday
from 8:00 AM through 5:00 PM ET.

Customer Service:

Tel: 800-780-5051
Fax: 866-741-5484
E-mail: Please complete contact form

Mailing Address:

Replacement Hardware Mfg., Inc.
500 W 84 Street
Hialeah, FL 33014

Miami Numbers:

Tel: 305-558-5051
Fax: 305-557-5239

WELCOME TO REPLACEMENT HARDWARE MFG.,Inc.

Take advantage of becoming a set up customer: you will not have to enter all your information every time you place an order, Special Pricing, Credit Line if approved.

To set up an account with us, please complete the form below, after receiving your application a customer service representative will contact you once your account is set up.

Company Information

Company Name

Date Established (MM/YYYY)

Corporation

State

Proprietorship

Partnership

Other

Explain

Bill To Address

City

State

Zip

Ship To Address Check Here if Same as "Bill To" Address

City

State

Zip

County

Ship Via
UPS		(preferred method)
FEDEX
OTHER

Contact Information

Your Name	Title

E-Mail	Telephone

Purchasing Contact Not Applicable

E-Mail	Telephone

Accounting Contact Not Applicable

E-Mail	Telephone

Describe your business

	Residential	Commercial
	Mobile Home / RV	Distributor
	Dealer	Repair
Other

Purchasing Habits

Payment Method

Credit Card

You will be asked to provide your Credit card information with your first order

COD

Please complete all this section for COD

By Checking this box, I attest financial responsibility and ability and willingness to pay Replacement Hardware Manufacturing invoices upon receipt.

Driver's License

Two Personal References

Name	Telephone

Open Account

Amount of credit Requested

Owners, Partners or Corporate Officers (only for Open Accounts)

1	Name	Title

	Address	Phone

2	Name	Title

	Address	Phone

3	Name	Title

	Address	Phone

Bank Reference (only for Open Accounts)

1	Bank Name	Account

	Contact	Phone

	Branch Address

Trade References (only for Open Accounts)

1	Name	Phone

	Contact	E-Mail

	Address

2	Name	Phone

	Contact	E-Mail

	Address

3	Name	Phone

	Contact	E-Mail

	Address

Your Signature

	By Checking this box I certify that the information given is correct. I also authorize Replacement Hardware Manufacturing to contact my company references.

	My Name	Title


All this information will be held in strictest confidence.

Forms | Terms & Conditions | About Us | Help |