Bluefin Dealer Application

Transcription

1 Dealer Application page 1 of 5 Bluefin Dealer Application Business Information Applicant s Legal Business Name Trading as/dba (Store Name) Amazon.com Marketplace Name ebay Marketplace Name Web Site address Retail Tax Number (Please attach Certificate of Resale) Purchasing Manager(s): Name Title Billing/Mailing Address Shipping address (if different) Store Phone Office Phone Fax: 24 Hr Emergency Phone address Zoned As: Commercial Residential (Check One) Subject to Verification additional shipping charges apply to residential addresses. Business Operations/Owner Information Your business is: Solely owned A Partnership A Corporation An LLC (Check one) Please list all Principals: Name Address City State Zip Home Phone # Name Address City State Zip Home Phone # Business Demographics Years in Business Number of Stores Number of employees Full Time Part Time Annual Sales Volume

2 Dealer Application page 2 of 5 *Please provide two photos of your store front for our Store Locator. Account Terms (Your account to be, check one:) ACH/Wire Transfer in Advance Credit Card If credit card, please provide the following: Name on Card: Expiration Date: Credit Card Number: CVV (3 digits on the back): Check one: VISA MasterCard Discover Billing address for Credit Card: Address City State Zip Terms I hereby acknowledge that the above information is correct and that any merchandise purchased from BLUEFIN, LLC will be for resale only. I understand and acknowledge that placing an order with BLUEFIN, LLC constitutes doing business in California and is therefore subject to the laws of the State of California. Should credit be granted by BLUEFIN, LLC, all decisions with respect to the extension or continuation shall be at the sole discretion of BLUEFIN, LLC. I understand that I may terminate any credit availability at my discretion at any time. I agree to pay the terms selected above. Credit Card subject to 2% processing fee. No additional fees for ACH/Wire Transfer. In the event I/we tender payment of invoice by check and the check is dishonored by the bank for any reason, I/we agree to pay a $25 charge for each dishonored check. In addition, I/agree to pay any late payment fees incurred on those dishonored checks. It is my responsibility to give written notification to BLUEFIN, LLC prior to any change in ownership or an intended date to cease operation. I also understand that any account I establish is for my exclusive use and is not transferable. *Must be signed by Owner(s) listed in Business Operations/Owner Information section Signature Date Printed Name Position Signature Date Printed Name Position

3 Business References Please provide three business references Dealer Application page 3 of 5 Company Name Address Name Address Name Address

4 Dealer Application page 4 of 5 New Customer Profile Date First Name Last Name Title Company name Website url Address City State/Province Postal Code Country Phone Fax MSRP range for products that your Consumers desire; Under $25 $25-49 $50-79 $80-99 $ $150 and up Description of Consumer Base Product types Model kits Bluefin Brands Tamashii Nations Franchises TOTORO Concept Store Opportunities Action figures Trading figures Lifestyle items Life-sized figures Bandai Hobby/GUNPLA Studio Ghibli TruForce Collectibles Beast Kingdom Sentinel Xplus Kidz Logic Terada Mokei Storm Collectibles Mr. Hobby Hero Cross SAILOR MOON DRAGONBALL GODZILLA GUNDAM ATTACK ON TITAN SUPER MARIO BROS MARVEL STAR WARS MEGAMAN DC COMICS SUICIDE SQUAD GUNDAM Tamashii Nations Studio Ghibli Sunstar

5 Dealer Application page 5 of 5