Woodstock Percussion
Prospective Wholesale Customer Information
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If you're interested in opening a wholesale account with us or would like to receive further information about our product line, please complete the following questionnaire. We or our sales representative for your area will respond within a few days.

Please note: Approval by local sales representatives is required before a new account can be established. If payment terms are requested, credit approval will also be required.

Required items are indicated in bold.


Date: 07/20/2008
Company Name:
Bill-To Address Line 1:
Bill-To Address Line 2:
City:
State:
Zip:
Resale Certificate #:
Years in Business:
Phone Number:
Fax Number:
E-mail Address:
Your Full Name:
Your Title:
Website Address:
Store Location
(If different than above)
Ship-To Address Line 1:
Ship-To Address Line 2:
Ship-To City:
Ship-To State:
Ship-To Zip:

Type of Business:
 (check all that apply)

Arts & Crafts   Book    Department
Catalog    Educational    Farm
Furniture    Gift    Garden
Hardware    Museum    Nature
Pharmacy    Toy    Website
Other (Please enter below)       
Where did you learn
about our products?
Are you interested in
a particular product or
product line?
Quick Note: