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CowaBonsai Drop Ship Partner Application
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* Indicates required question
Business Type:
*
What type of business do you have?
Sole Proprietorship
Limited Liability Corp.
Partnership
Corporation
Business Name
*
Name of your business?
Your answer
Tax ID/EIN number
*
Your answer
Contact Name:
*
Please state your full name.
Your answer
Title:
*
What is your title with the company?
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone
*
Your answer
Fax
(optional)
Your answer
Contact Email
*
Your answer
Website
Your answer
Website Description:
Let us know what you are wanting to use our products for?
Your answer
Do you Possess a Valid Resellers Certificate?
*
Yes
No
Have you made your Deposit yet?
*
This is the deposit that is made on the CowaBonsai.com Website, under the tab dropshipping.
Yes
No
I agree to all the terms & Services:
*
Yes
Signature
*
Your answer
Date
*
Your answer
That is it...! Thank you for your time, looking forward to doing business with you.
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