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* Your Name:
First Last
* Company:
* Address:
* City:
* State: *Zip:
* Phone (with area
code)
()
- ext.
Fax:
() -
* E-mail:
What kind of business are you?
Store
Front
Website / Internet
Store
Catalog
Independent
Rep.
Home Sales
Educator
International
Which Product Line(s) would you be interested in
carrying?
Software / Clip Art CDs
Sewing
Scrapbooking
Dance / Cheer / Gymnastics
(Please Note: if approved, dealer pricing is 50%
off retail price listed. There is a $100 minimum
order per product line to receive dealer pricing.)
Will you be placing an order with us
today?
Yes No
Do you have any comments or questions?
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