Reseller application form

Reseller application form

Requirements:

Commande initiale d’au minimum 1500$ avant taxes (transport gratuit)

Follow-up orders of at least $600 before taxes (free shipping)

Annual order amount to keep the account active: $3,000 before taxes

u003cstrongu003ePrénomu003c/strongu003e
u003cstrongu003eNom de Familleu003c/strongu003e
u003cstrongu003eNom de commerceu003c/strongu003e
u003cstrongu003eE-mailu003c/strongu003e
u003cstrongu003eTéléphoneu003c/strongu003e
u003cstrongu003eAdresse postaleu003c/strongu003e
u003cstrongu003eNombre d’années en affairesu003c/strongu003e
u003cstrongu003eCommentaires ou informations supplémentairesu003c/strongu003e
u003cstrongu003eJ’accepte les termes cités en haut du formulaire.u003c/strongu003e

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