NEW DEALER INFORMATION FORM
Company Name:
Contact Person:
Address:
City:
Prov/State:
Postal/Zip Code:
Is this a residence?:
Yes
No
Tel:
Fax:
999-999-9999 999-999-9999
E-Mail:
Type of Business:
Year Established:
Teamco Sportswear only sells to bona-fide businesses and registered resellers. As we do not charge any Provincial/State Sales Taxes, we require your Provincial Sales Tax number, or for U.S. businesses, the Federal ID number
PST#/Federal ID#:
Please complete if the shipping address for your orders is different from the billing address
Shipping Address:
City:
Prov/State
Postal/Zip Code:
Is this a residence?:
Yes
No
SHIPMENT OPTIONS:
Please indicate your option:
UPS
POST
Pick-Up
Own Courier
(All US orders are shipped via UPS)
PAYMENT OPTIONS:
Please indicate your option:
Visa
Mastercard
We will contact you for credit card information and authorization
prior to processing your first order
CATALOG REQUEST
Please send
current Teamco catalog(s):
With My Order
By mail (will place order later)
