Dealer Application

Instructions:

Please fill out the form below. You may also download a PDF version of this form on our form page which can then be uploaded to this site, emailed to sales@ballroomdancewear.us or mailed to our site address. Though your EIN# and Business State License are not required for the submission of this form doing so will speed the registration process and help us to serve you better. Please allow 1 business day from submission of this form for us to respond.

Online Dealer Application Form

1. Your Name(required)
2. Email(valid email required)
3. Website
4. Address(required)
5. State(required)
6. Zip(required)
7. EIN#
8. State Business License (Upload your scanned copy here)
9. Type of Purchaser: Sole Proprietor Partnership Corporation Studio Dance Group Indivdual Other (required)
10. Message

 

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