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