Jiftip Dealer Application Form
Have fun - make money...
Delivering hap-penis
* Required
Email address
*
Your email
YOUR NAME
*
First and Last Name
Your answer
YOUR TITLE
*
What's your position in the company?
Your answer
YOUR MOBILE PHONE NUMBER IS
*
Include Country Code - NO SPACES OR DASHES
Your answer
STORE NAME
*
Your answer
STORE WEBSITE
*
Website
Your answer
STORE PHONE
*
Your answer
STORE ADDRESS
*
STREET, CITY, STATE/PROVINCE, POSTAL CODE, COUNTRY
Your answer
STORE EMAIL
*
INCLUDE COUNTRY CODE
Your answer
HOW MANY STORES TOTAL?
*
IS IT A CHAIN OR FRANCHISE?
Your answer
TYPE OF PRODUCTS SOLD
*
DO YOU SELL ADULT PRODUCTS?
Your answer
Any questions for Jiftip?
*
IF you have questions about Jiftip or being a Jiftip dealer - list them here
Your answer
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