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Application for Dealer Account
Tricia Keightley
2021-11-12T12:24:57-06:00
Application for Dealer Account
BUSINESS INFORMATION
Title:
(Required)
Dealer Name:
(Required)
Phone:
(Required)
Fax:
Email:
(Required)
Dealer Class:
(Required)
Corporation Class A
Store Front Class B
Non-Store Front Class C
City:
(Required)
State:
(Required)
ZIP Code:
(Required)
Tax ID/SS#
(Required)
Business Type:
(Required)
Sole Proprietorship
Corporation
Partnership
Other
BUSINESS CONTACT INFORMATION
Primary Business Address:
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long at the current address?
Phone:
(Required)
Fax:
Email:
(Required)
BUSINESS REFERRENCES
Name:
(Required)
Phone:
(Required)
Email:
(Required)
Address:
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Name:
(Required)
Phone:
(Required)
Email:
(Required)
Address:
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
AGREEMENT
1. All invoices are to be paid
30 days
from the date of the invoice.
2.
All orders must be over $300 and half of the order amount must be paid upfront.
3.
All Scent Products must be ordered in quantities of (5) and Mineral in quantities of (6)
4. Outstanding invoices must be paid before additional orders are processed.
5. By submitting this application, you authorize Flawless Whitetail to make inquiries into personal references that you have supplied.
6. 10% late fee will be applied to total if not paid within
30 days
of dated invoice.
7. Credit program will only be honored on Regular Doe and Regular Buck Urine to dealers in good standing. A credit will be given for the following years first order to all dealers in good standing. Only sealed bottles will be accepted and dealer must cover the shipping cost.
8. Product Credit Program will be done at the end of the year once all invoices are paid in full from dealer.
9. A processing fee of
3%
will be applied if paying with a Credit Card.
10. Shipping is to be paid by dealer at flat rate of
$19.99
per order.
Free Shipping on orders over $1,000
11. Dealer fridge is priced at
$240
per dealer on orders of
$500.00
or more.
SIGNATURES
Title:
(Required)
Title:
Date
(Required)
MM slash DD slash YYYY
Date
MM slash DD slash YYYY
Signature
(Required)
Signature
39432
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