Dealer Profile

U.S Customer Profile, Distributor Thank you for your interest in our products. We welcome the opportunity to be your preferred vendor and look forward to a long-term and profitable relationship with your company. In order to serve you better, please complete this Dealer Profile. This information is for internal use only and will not be shared with any outside sources other than companies that are pertinent to our transactions such as for shipping, Pay Pal or credit card, wire transfers, etc.

For a PDF version please click here: open a window

Customer Profile Form

Full Name :

Your Position :

Phone Number :

Fax Number :

Company name :

Address:

Apt/SUITE:

City:

State:

ZipCode:

Doing Business As:

TAX ID #:

How many people work in your organization?:

How did you hear about us?:

What is the buyer’s name?:

Your e-mail address:

Do you operate out of a residence, storefront or warehouse? :

Your Company website: http://:

Where will you primarily sell our products?: Online, Auction, Store, If Auction, please advise Seller Name. :

How do you prefer to pay? PayPal, Credit Card, Wire Transfer, other(specify):

Annual Sales $:

This Years Sales To Date $ :

Projected Sales :

What products are you interested in? :

What quantities?:less than 10, less than 50, more :

  Thank you for completing the Dealer profile. Please fax it or email it to support@minigadgets.com

Fax Number (307) 333-7240

If you need immediate assistance, please call 1-800-772-6801 :