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Customer Application
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Thank You for Your Interest in Partnering with Us!
We appreciate your interest in becoming a partner with BFG Distribution Inc. Please complete the form below and submit it to sales@bfgwholesale.com.
After we review your information, we will reach out to you within two business days.
Thank you for considering us!
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BUSINESS INFORMATION
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Company NameNots:
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DBA
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State Tax ID
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Federal Tax ID
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Business Address
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City, State, ZIP Code
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Email
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CONTACT INFORMATION
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Primary ContactNots:
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Position
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Phone No.
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E-mail
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SHIPPING INFORMATION
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SHIP TONots:
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Address
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City, State, ZIP Code
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PAYMENT INFORMATION
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Card Holder NameBilling Address
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Credit Card#Street:
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Expiration DateCity:
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Name on The CardState:
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Card Verification NumberZip Code:
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SIGNATURES
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SignatureNots:
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Name and Title
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Date
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Please submit this application to Sales@bfgwholesale.com
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