ELEMENT TATTOO SUPPLY,  Wholesale Account  Questionnaire Form
Thank you for your interest in becoming a distributor/reseller/channel partner of Element Tattoo Supply products. Please complete the following questionnaire and after careful review we will follow-up by email. Please allow up to 5 business days.
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Email *
First Name *
First Name
Last Name *
Last Name
Title/Position *
Your business title or position within your company.
Email *
Phone number *
Company Name *
Company Web Address *
Which products(s) are you interested in? *
What kind of business/industry are you in? *
Where do you sell your current products/services? *
Please provide a brief description on how you intend to sell/distribute/use our product(s)?
What volume of annual purchase(s) are you expecting? *
Is there any additional information or comments you would like us to consider?
Please check each box to acknowledge your understanding of each statement. *
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