NEW DEALER APPLICATION - Rizzini USA

NEW DEALER APPLICATION

COMPANY NAME *

TRADE NAME (IF DIFFERENT) *

COMPANY PHONE NUMBER *

ARE YOU A MEMBER OF NBS, SPORTS INC. OR WORLDWIDE? (ENTER STORE NUMBER) *

TYPE OF STORE *

BRICK AND MORTAR - STORE FRONT
ONLINE
OTHER

PHYSICAL STORE ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

COMPLETE BILLING ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

Layout

ACCOUNT PAYABLE INFO *

First

Last

Phone *

Email *

Layout

BUYER INFO *

First

Last

Phone *

Email *

CREDIT REFERENCE #1 *

CREDIT REFERENCE #2

CREDIT LIMIT REQUEST (DEFAULT LIMIT $25K) *

NOTES

FFL UPLOAD *

Click or drag a file to this area to upload.