New Dealer & Internet Dealer Application Form



Complete this form then click on "Submit". All items with asterisk must be completed.

DEALER APPLICATION
1- Must be a Musical Instrument Retailer (Store or Internet).
2- Must provide resale certificate or resale license.
3- Must provide 3 credit references in the music industry.
4- Must meet minimum order and annual purchase requirements.
5- Minimum $500 opening order, additional orders minimum $100.
6- Minimum combined orders of $1,500 per year.

STORE INFORMATION:

, Sole Proprietership, Partnership, Subchapter S Corporation, Corporation



ACCOUNT ADDRESS:







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Multiple Stores, , We Use Central Purchasing.

SHIP TO:

Same as above address.






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Shipping- Use UPS.
Shipping-

TRADE REFERENCES:







BANK REFERENCE:



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BUSINESS or RESALE LICENSE:

IMPORTANT- California requires a signed Tax Exemption Certificate and must be on file prior to shipping orders.

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TYPE OF STORE: (Check all that apply)

Retail Music Store
Pawn and Music
Internet Sales Only
Retail and Internet Sales

PRODUCTS & SERVICES OFFERED:

Fretted Instruments
Drums and Percussion
Band and Orchestra
Print Music
Repairs
Recording Studio
Piano, Keyboard, Organ
Hispanic Customers


LESSONS OFFERED:

No Lessons Offered
Guitar
Banjo
Mandolin
Drum


STORE HOURS:

Monday thru Friday, ,

PRODUCT LINES CARRIED:









TERMS:

COD Company Check
COD Cashiers Check
Bank Card (Visa, MC, or Discover)

I hereby certify the above information is correct and authorize above references to release any and all information concerning my account.







Copyright 2010, Rev. 1/12/2011, Dealer Direct, All Rights Reserved.