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RipTide Sports Inc
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Wholesale Dealer Application
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Please fill out completely, sign and return with a copy of your Sellers Permit and Resale Tax ID. Please note that by signing and returning the application, you agree to pay RipTide Sports, Inc. the Order price for Products, plus shipping and any applicable taxes or other charges, before shipment. All merchandise is shipped via United States Postal Service Priority Mail unless agreed upon, and requested specifically, prior to shipment.
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Date:
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Full Company Name:
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Owner/Owners Names:
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Owner E-Mail Address:
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Owner's Phone #:
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Office/Shop Phone #:
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Fax #:
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Authorized Buyers Name:
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Full Bill-To Address:
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Full Ship-To Address:
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Resale Tax ID# (Required):
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Years in Business:
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Authorized Buyers Phone #:
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Do You:Own?Rent?Lease?
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Type of Business?
Distributor?
Dealer?Retail?
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Do You Currently Sell On-Line?NO
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Website Address?
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Trade References:Name:
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Phone:
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Account #:
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Name:
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Phone:
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Account #:
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Name:
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Phone:
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Account #:
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