a Division of VNS Inc.
VNS Inc. DEALER AND CREDIT APPLICATION
(all information is reviewed, any invalid and/or incomplete information
may result in your not receiving a user name and password.)
Dealer Information
Company Name:
Tel.
Fax
Email Address
Email Address (same as above)
Billing Address:
Street:
City:
State/Province:
Zip code:
Country:
Shipping Address:
Same as billing?
Street:
City:
State/Province:
Zip code:
Country:
Authorized Buyer Information (make sure to fill in all fields)
Buyer's Name (first and last)
Tel
Fax
Email Address
Business Information:
Resale Number
Years in business
Open All Year
Hours of Operation (ie. 9am-5pm, or 24hrs, or m,w,f)
Description of Retail Facility (ie. Warehouse, 5 & 10 Store, Flea market Booth, Website)
Major Brands Sold
Co-op Advertising:
Would you like to be listed on ArkahdiaArts.com as a certified provider of our products?
URL of your website for a link on our site:
Please email us your logo at info@lowprice4u.com to use as your link.
Your store address to display on our site:
A short description of your business to display on our site:
How did you find out about us?
Search Engine
Met with Rep
Contacted from Arkahdia Arts
Saw at show
Recommended by another customer
Print Ad
Radio Ad
TV Ad
Other (explain in box)
If you are applying for a credit line please fill out the rest of the form below.
Otherwise review our
Terms and Conditions
and click here:
Credit Portion (IF APPROVED YOUR TERMS WILL BE NET 30 DAYS)
Type of Business (Sole./Partner./Corp.)
Owners or Principals
1. Name
Title
2. Name
Title
Bank reference
Bank Contact Name
Tel
Please list 3 Business References
Company Name:
Contact Person:
Tel Number:
Company Name:
Contact Person:
Tel Number:
Company Name:
Contact Person:
Tel Number:
Please review our
Terms and Conditions
before you submit your information.
