Dealer Application - KAAZ USA

NEW ACCOUNT APPLICATION

Please check your qualifications before applying. Failure to meet account criteria on previous page will result in a declined application. International accounts: Only Sections I, II, III, and VII are required.

1. Dealer Business Information and Contacts

Business Name (DBA)*

Legal Name (if different than DBA)

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

FAX

Phone - International*

FAX - International

Business Website*

Primary Contact - Name*

First Last

Primary Contact Email Address*

2. Description of Business

TOTAL Number of Employees*

Please enter a number greater than or equal to 1.

Business Structure*

Corporation
Partnership
Proprietorship
Subsidiary

Marketing and Sales Procedures*

Internet
Retail
Magazine / Catalog
Distributor

Check all the apply

CALIFORNIA State Reseller Permit #*

For Businesses with California operating addresses

KAAZ Dealer Terms and Application

Step 1 of 6

KAAZ Dealer Terms

NEW ACCOUNT APPLICATION

1. Dealer Business Information and Contacts

2. Description of Business

3. Company Principals / Officers Responsible for Business Transactions

4. Bank References

5. Trade References

6. POLICY AND CONDITION AGREEMENT

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KAAZ Dealer Terms and Application

Step 1 of 6

KAAZ Dealer Terms

NEW ACCOUNT APPLICATION

1. Dealer Business Information and Contacts

2. Description of Business

3. Company Principals / Officers Responsible for Business Transactions

4. Bank References

5. Trade References

6. POLICY AND CONDITION AGREEMENT

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