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Registration

Registration is for Retailers Only. Fill this form out completely.

Registering will allow you access to our Retailer page.

The Retailer page will provide information on;
  • Wholesale Cost
  • Markup percentage-Suggested Retail
  • Ordering
  • Sales Info
  • Featured Discounts
  • Advertising Partnerships
  • Online Marketing Tools
  • and More

  • A customer service representative will contact you to verify your information.

    You will be notified once you have been approved, either by your sales rep or a customer service rep. The assigned username and password to access the "Retailer page" will be emailed to you.

    Prefix: mr. <> mrs.
    First Name:
    Middle:
    Last Name:
    Business Name:
    Business Address:
    City:
    State:
    Zip: 12345
    Country:
    Phone: 123.123.1234 <> 123-123-1234 <> (123)123.1234 <> (123)123-1234
    Extension:
    Fax: 123.123.1234 <> 123-123-1234 <> (123)123.1234 <> (123)123-1234
    Email:
    Type of Retailer:

    Comments:

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