Plat Book Reseller Application

Fill out the information below to apply and become an authorized Rockford Map Plat Book Reseller. A Rockford Map representative will then be in touch with you shortly about the available opportunities in your county!

CONTACT INFORMATION
Name:
Company:
Street:
City:
State: Zip:
Email:
Phone:    Ext.
PLAT BOOK INFORMATION
Requested county:
Last known edition:
Sold books before: Yes No
I'm Interested In
SALES INFORMATION
Intended Sales Price:
Tax Exempt Form:

Please attach a .pdf of your tax exempt form if you are a tax exempt organization. File size limit of 1MB

Sales Locations:
Additional Comments:
How did you hear about us?:
  SUBMIT