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Business Name:

Company Type: Online only reseller Brick and mortar store Multiple brick and mortar stores in one region Multiple brick and mortar stores in many states Sporting Goods Distributor Toy Distributor Home Furnishings Distributor

POC First Name: Last Name:

POC Phone:   Email:

Business Website:

Number of Physical Store Locations:

Country: United States of America Afghanistan Angola Argentina Bangladesh Brazil Canada China DR Congo Egypt Ethiopia France Germany India Indonesia Iraq Italy Japan Kenya South Korea Mexico Myanmar Nigeria Pakistan Philippines Poland Saudi Arabia South Africa Spain Sudan Thailand Turkey Uganda Ukraine United Arab Emirates United Kingdom Vietnam Yemen Zambia Zimbabwe Other

Business Address:

Address Line 2:

City:   State: AL AK AZ AR AS CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PA PR RI SC SD TN TX TT UT VT VA VI WA WV WI WY   ZIP Code:

Resale Permit Number:

Resale Permit State: Select State/Territory AL AK AZ AR AS CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PA PR RI SC SD TN TX TT UT VT VA VI WA WV WI WY

EIN: Business Address:


VATIN:

Brands of Interest:
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X Kites
WindNSun
Bubbles
Balloons

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