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Company:
Contact Person:
Tax ID # / Permit #:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Website:
Doing Business Since:
Best time to call you:
I want to use your company as a "drop shipper". (Online stores and auction owners)
I want to buy from your company. (Distributors, wholesalers, Stores)
Additional comments/instructions:
What happens next? A soon as we receive your submission we start working on it. We might need to confirm/validate the information you provided here or contact you for more details. Please allow one week for a decision to be made. We are limited with certain number of new accounts for each quarter and sometimes it might take more time than planned to reach a final decission. Although we will make sure to update you at every step of the progress, please feel free to follow-up with a phone call anytime (239-732-6611) . We honor "Equal Opportunity" and encourage new businesses.