The Hideaway Online - - Reseller Application

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Reseller Application

If you are interested in becoming a reseller with us, please fill out the application below. We will review your application and get back to you as soon as possible using one of the provided contact details.

Company Name: *		Please fill out your company's name.
Address: *		Please fill out your company's address here
City: *		What city are you based out of?
State *		What state?
Country: *		What country will you be selling in?
Phone Number: *		What phone number can we best reach you at? If there is an extension please format it as follows: (999)999-9999(x9999)
Fax Number:		If you have one, provide your fax number.
Email: *		What is your e-mail address?
Website:		Company Website? If online reseller, provide URL to site.
Online Reseller: *		Are you selling our products online?
Retail Reseller: *		Will you be selling products in a retail environment?
Information: *		Please provide further information / a description of your companies business.
Expected Margin: *		What percent profit do you expect to make through us? Type only the number, not the % symbol.
Payment Method:		How do you plan to merchandise our products?
Submit: *		Submit your application after you have finished.