Sign Up Form: Step 1 of 3
 

Company Name:

 

 

Your full company name here

Street Address:

 (No PO Boxes!)

 

Your complete street address here

City:

 

 

State:

 

 

Your state or province

Zip:

 

 

Country:

 

 

Website:

 

 

Enter Company Website Here

Contact Person's
Name:

 

 

Person for retailers to contact

Contact Person's
Email:

 

 

Email address for retailers to use

Contact Person's
Phone:

 

 

Phone number for retailers to use

Contact Person's
Fax:

 

 

Fax number for retailers to use

Shipping Methods:

 

 

Your shipping methods (UPS, FedEx, etc.) here

Shipping Regions:

 

 

Shipping available to (US only, Worldwide, etc)

Drop Ship (Handling)
Fee:

 (if applicable)

 

Drop Ship Fee/Handling Fee per order (enter NONE for $0.00)

Payment Terms
Accepted:

 

 

Payment accepted (Visa, MasterCard, AmEx, Discover, Net 30, etc.)

Ordering Methods:

 

 

How you accept orders (Online, Email, Phone, Fax, etc.)

Comments:

 

Any comments relevant to your business
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