Reseller Application Form

First Name:
Last Name:
Preferred User Name (for Login into the web site):
Preferred Password:
Address:
City:
State:
Zip Code:
Country:
Reseller Type		Distributor (min. purchasing requirements) Retailer
Company Name:
Contact Name:
Alternate Contact:
Telephone:
Cell Phone:
Fax:
Email:
Web Site:
Your Company Profile:
Years in Business:
Business Focus:
Customers Per Day:
You authorize us to check your credit report:

If you are applying for a wholesale account you must fax your resale license to us at 916-361-3148. We will be unable grant access to wholesale pricing or ship without a copy on file.

Terms:

	Payment is due on receipt. Either credit card or COD (first 6months)
	We accept: Visa, Mastercard, and Discover
	Minimum first order is $100
	Minimum re-order is $100
	Defects/returns must have an RMA# (refused if no RMA, see return policy in FAQs)
	Free 2nd day FedEx shipping if order is over $500.00

Murano Glass