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Dealer Application Heading

The fields indicated with an asterisk (*) are required to complete this application. Other fields are optional.
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Date:
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Company Name:
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Tax ID Number:
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Resale Number:
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Information
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Address:
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City:
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State:
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Zip/Postal Code:
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*
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Fax:
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*
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Website
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Are you a:
Retail store Commercial studio Home dealer Online vendor
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How many years have you been in business?
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How did you hear about Mayfair Lane? (Check all that apply)
Word of mouth
Received a product
Showroom
Search engine
Magazine article
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What other lines do you currently carry?
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Would you like to receive our e-mail newsletter?
Yes (Please provide your e-mail address above.)
No
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