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Punchbowl Pipes Dealer Application
Punchbowl Pipes Dealer Application
Please fill out the following Dealer Application form.
General Company Information
Business Name*
Business Address*
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Contact Information
Email*
Phone Number*
Fax Number
Contact Person*
Title*
Organization Information
Operating as*
Proprietorship
Partnership
Corporation
LLC
Number of years in business*
Federal Tax ID Number*
State Retail License Number*
References
Please list names and phone numbers of three Trade References (Parts or Tucker or WPS accounts if available):
1)
2)
3)
Supporting Documents
Please Email the following documents to us at
[email protected]
:
Proof of Business - Copies of your Federal Tax ID, Business License, State Tax ID or Sellers Permit
Photocopies of advertising or business cards.
Proof of location - Photos of your retail shop or kiosk
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