Drop Ship Customer Form

Drop Shipping Program
Thank you for your interest in our products! We hope we will be your preferred vendor and are looking forward to a long term profitable relationship. In order to serve you better, please complete the customer profile with as much information as you can. We need this information in order to know where to ship your orders and generate invoices. Your information is for internal use only and will not be shared with anybody outside of our office except companies that are pertinent to our transactions such as for shipping, Pay Pal, credit card, or wire transfers.
We will not be able to process your orders without this information.
Company name:_______________________
Address:___________________________
APT/Suite:________, City:____________, State _______Zip_______.
Check if shipping address is the same: Yes____ NO____
Your name:____________________________________..
Your position with the company:_____________________
Phone:___________________ Fax:_____________________
Credit Card:_________________________ Exp.______ CCV:_____
Your e-mail address:__________________________________
Your PayPal email address:____________________________
Your website:.http://www______________________________
Where will you primarily sell our products: Online ___, Auction _____, Store _____.
How do you prefer to pay? PayPal____, Credit Card____, Wire Transfer____ other(specify):_______________________________
What products are you interested in? _______________________________________________________________________ _______________________________________________________________________ _________________________________________________
Please email logo to Support@MiniGadgets.com
Thank you for completing the customer profile. Please email it back to Support@MiniGadgets.com or fax to 1-866-770-9662, 1-770-772-9662.
If you need immediate help please call 1-800-772-6801.
The vendor (Mini Gadgets Inc.) and the distributor __________________________, mutually agree that they will not divulge any of the information exchanged in order to facilitate the distributorship business to anyone. Such as price list, prices of products, product line, discounts, sales channels and vendors sources.
Please sign and date below:
Name:______________________Title:________________Date:___/____/______Signature:______________________________