Required fields are in Bold.
Business Information
Legal Business Name:
Trade Name (if different):
Web Site URL:
Mailing Information
Address 1:
Address 2:
City:
State or Province:
Postal Code:
Country:
Phone:
Fax:
Primary Contact
Name:
Title:
Email:
Accounting Contact
Same as above:
Important Information
What is the classification of your business? Please select one... Marketing Communications Print Shop Sign Shop Embroidery/Screen Printer Event Planning Advertising Graphic Design Print Broker Other (please explain below) If Other, please explain:
Number of current clients who purchase promotional items: Please select one... 0 - 10 11 - 25 26 - 50 51 - 100 100+
How much sales do you anticipate generating in ad specialties annually? Please select one... less than $5000 $5000 - $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $250,000 more than $250,000
What is your business tax classification? Corporation Individual
What is your Federal EIN or Business Resale License?
What date was your site established?
Are you a member of ASI, PPAI, SAGE, Dist. Central? Yes No If yes, please enter your member identification