JPC Equestrian Inc                                                
100 Hillside Drive, Drums, PA 18222 USA
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Dealer Application
Opening order must be at least $2,500*
we only accept credit card payments for new customer orders.
Certain restrictions apply to internet only sellers.  
Please contact us for more information. 866 273 3243 or sales@jpcequestrian.com
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 Business Name
 *
Country *
Address *
City *
State *
Zip Code *
Phone number *
Email *
Website
Type of Entity *
Required
Business License# *
Please remit a copy of your business license along with this application in Next Section
Federal Tax ID# *
Do you sell on Amazon? *
Name of Owner *
Address of Owner *
Date *
MM
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DD
/
YYYY
Please note:
A completed form online is considered a physical signature for our files.  
*  No minimum opening order requirement for existing AWST or LETTIA dealers that are applying for a JPC Dealer Account
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