If you're interested in opening a wholesale account with us or would like to receive further information about our product line, please complete the following questionnaire. Please expect a response within 48 business hours.
Required items are indicated in bold. |
| Date: |
05/19/2012
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| DBA Name (if different): |
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| Bill-To Address Line 1: |
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| Bill-To Address Line 2: |
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| City:
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| State(2 Ltr)/Province: |
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| Zip/Postal Code: |
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| Country: |
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| Resale Certificate #: |
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| Years in Business: |
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| Phone Number: |
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| Fax Number: |
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| Buyer Email: |
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| Buyer First & Last Name: |
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| Billing Contact Email: |
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| Billing Contact First & Last Name: |
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| Website: |
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Have you ever purchased from Rocket Tour?: |
Yes
No
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Shipping Location |
| Residential Address: |
Yes
No
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Store Name (If different than above) |
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| Ship-To Address Line 1: |
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| Ship-To Address Line 2: |
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| Ship-To City: |
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| Ship-To State(2 Ltr)/Province: |
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| Ship-To Zip/Postal Code |
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| Ship-To Country: |
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| Ship-To Phone Number: |
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| Ship-To Fax Number: |
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| Ship-To E-mail: |
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Type of Business:
(check all that apply)
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Country Club/Pro Shop
Independent Retailer
Chain Retailer
Online Retailer
Tournament/Event, Teams
Other (Please enter below)
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Are you interested in any particular products or colors? |
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Is there anything else you would like us to know? |
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Where did you learn about Rocket Tour? |
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Thank you for your application! We will review it quickly and can get going right away! Please let us know if there is a preferred method (email/phone) and/or time to contact you! |
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