NEW BUYER APPLICATION
Reverse Logistics USA
Legal Business Name *
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First & Last Name *
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Address Line 1 *
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Address Line 2
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City *
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State/Province *
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Zip Code *
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Country *
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Website/URL
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Office Phone *
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Mobile Phone *
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WhatsApp Number
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Email address *
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Type of Business *
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If you Selected yes for E-commerce, please select the below
Where is your customer base? *
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Structure *
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Are you R2 Certified? *
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Fed Tax ID *
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Have you been in contact with someone in Reverse Logistics USA in the past 3 years? *
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If you selected Yes, Please provide their Name below
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Please describe which product line you are most most interested in *
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How did you hear about us? *
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