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Vendor Registration
Use this handy form to send your contact and business information
Instructions:
1. Fill out form below.
2. Submit form.
3. Watch your inbox for a confirmation via email.
If you have questions or need any help, then please
contact me
.
Business Name
Address1
Address2
City:
Country/State
Zip
Shipping Address (if different)
Contact
First Name
*
Last Name
*
Position or Title
Phone
Area Code (or Country Code)
Office
Ext
Home
Mobile
Fax
Email
*
Website
Number of Years in Business
less than 1
1 to 5
5 or more
Legal form of business
Sole Proprietor
Partnership
Corporation
Limited Corporation
Other: (Describe below in Notes)
Sales Tax Resale No
State
Federal Tax ID Number (FEIN) or SSN
Payment Terms (check all methods you accept)
x
Check
Money
Order
Credit
Card
x
PayPal
Select Credit Terms
30 days
60 days
90 days
Notes
Subscribe me to the vendor email newsletter. I may unsubscribe at any time later.
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© 2006, 2007, 2008
Bone Dry Musical Instrument Co.
Saint Louis, MO 63118
314-772-1610 (Warning: Two screaming kidz in the background)
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