Blue Ridge Impressions, Inc

Thank you for your interest in carrying our rubber stamps in your store. Please take a minute or two to fill out this short form. As soon as we approve your application, we will e-mail you our vendor information and send you our latest catalog with more detailed information.
Business Name:		All orders must be placed in this name, and it must appear on your checks when making payments.
Phone Number
Fax Number:
Email Address:
Contact Person
Address
Tax ID form:		Please upload a copy of your tax form in a Pdf or Bitmap. If this is not convenient, you can fax a copy to (888)-298-0351.
Tax ID Number:

Please answer the following questions.
Where did you learn about our company?
Do you intend to sell rubber stamps and/or accessories to generate an income?		Yes No
Do you have an existing store?		YesNo

If you selected YES on the above question, fill out the following.
	Type of items currently sold:
	Store hours:
	When did you start your business?
	Approximate wall space to be used for rubber stamps and accessories:

If you selected NO, please fill out the following.
	I would like to start a store	If so, what is the approximate opening date?
	I would like to have a catalog printed and sell by mail order.
	I am currently selling by mail order and would like to add your items.
	I would like to purchase Blue Ridge Impressions catalogs and use them to sell mail order. (If you choose this option, we require you to initially purchase at least 25 catalogs.)
	I currently sell rubber stamps through home parties.

Package deliveries will be made at the same address as residence.
If you are currently buying from our retail catalog, copy your name as it appears on your catalog.
Name:
Address: