Purchaser's Application

Step 1 of 6 - Builder Information

  • Welcome to the Simplex Industries, Inc. Purchaser's Application

    This Purchaser's Application is for purchasers wishing to do business with Simplex Industries, Inc.. The application will take only a few minutes to complete but will require information that you should have ready. Some of this will include financial, banking and trade reference information.

    Should you wish to begin the form and "Save and Continue Later", make sure to click that option on the bottom of the page, otherwise your information will be deleted and you will have to begin the application from the start when you return.

    * = requred

  • NOTE:Builders Licenses are required for the following states: MD, ME, RI and MA. If you build in one of these states you must attach a copy of your builders license to become an approved builder of Simplex

  • Accepted file types: jpg, png, pdf.
  • Below you will need to enter the Principal's email address. Please note that this address will need to be verified once you have submitted this application. If you are not the Principal, please make sure they are aware that they will receive an email asking them to confirm this email address. Application reviews require this confirmation.