All Categories

Brands & Artists

All Categories

Brands & Artists

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Please provide as much information as possible as it will greatly reduce our processing time of opening new accounts.

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Business Name *

Resale# *

Delivery Address *

Country *

City *

State *

Zip *

Phone *

Fax

Email *

Password *

Confirm Password *

Owner/Principal officer(s) *

Business Website

Organization Type*

ProprietorshipPartnershipCorp (State)

Billing Address *

City *

State *

Zip *

Phone *

Fax

Number of employees *

Year Started

Do you use purchase orders?*

YesNo

Business Location*

HomeCommercial Building

Business Type*

ManufacturerImporterRetailerWholesalerE-Commerce

Other

What are your product Categories?

What product lines are you interested in carrying?

Please list brands that you sell

Monthly Book Sales*

0 to $500$501 to $1,000$1,001 to $2,500$2,501 to $5,000$5,000 to up

Trade References

1

Company Name*

Type of Business*

Address*

City*

State*

Zip*

Email*

TEL*

FAX

Payment Terms*

I hereby declare that the information provided above is true and complete. I warrant that I am authorized to represent this entity to sign and execute this application, and that no third-party permissions are required.

Full Name*

Date:

Title*

Please enter picture verify code*

(Please input number)

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