WE GET LOTS OF REQUESTS FOR
WHOLESALE / DEALER PRICES
WELL HERE IS A ONLINE FORM THAT YOU CAN PRINT AND MAIL TO US,
THIS IS NOT GUARANTEED DEALER SETUP,
WE RESERVE THE RIGHT TO REFUSE SALE TO PERSONS THAT ARE JUST TRYING TO GET CHEAP PRICES!!!!!!


RETURN TO MAIN PAGE
jgracie@infionline.net
I.C.Q.#11852244
A.O.L.Instant Messager Name: Aquapet Inc


RETURNS:
OUR MERCHANDISE
IS NOT SOLD ON CONSIGNMENT OR APPROVAL
AND MAY NOT BE RETURNED WITHOUT OUR WRITTEN AUTHORIZATION.
IF YOU HAVE PROBLEMS PLEASE WRITE FIRST AND REQUEST AUTHORIZATION.
OUR RECEIVING DEPARTMENT WILL NOT ACCEPT RETURNS WITHOUT A AUTHORIZATION NUMBER.
ONLY DEFECTIVE ITEMS MAY BE RETURNED FOR EXCHANGE WITH OF THE SAME
IF WE ARE OUT OF REPLACEMENT YOU WILL RECEIVE A CREDIT MEMO.
NO REFUNDS
PLEASE ALLOW 2 - 4 WEEKS FOR PROCESSING.
PROOF OF PURCHASE MUST BE PROVIDED.
A 20% RESTOCKING FEE WILL BE CHARGED ON ALL RETURNED MERCHANDISE THAT IS NOT DEFECTIVE EXCHANGED.
THE FOLLOWING ITEMS ARE NON RETURNABLE UNDER ANY CIRCUMSTANCES:
SPECIAL ORDERED MERCHANDISE,
MASKS,
WIGS,
HATS,
MAKE UP,
HAIR SPRAY,
ITEMS THAT CONTACT THE NAKED SKIN IN ANY WAY.
ALL SALE PRICED & CLOSEOUTS ARE NON RETURNABLE.
ALL RETURNS MUST BE IN NEW CONDITION AND ALL PACKAGING MUST ACCOMPANY .
THE UNDERSIGNED HEREBY MAKES APPLICATION FOR CREDIT AND PROVIDES INFORMATION CONTAINED HERIN WHICH IS WARRANTED TO BE TRUE AND CORRECT, FOR THE PURPOSE OF INDUCING AQUA AND PET SUPPLIES AND DIVISIONS TO MAKE PERIODIC SALES OF GOODS AND MATERIALS. IN CONSIDERATION THEREOD, IT IS AGREED AND UNDERSTOOD THAT:
(1) THE UNDERSIGNED IS A AUTHORIZED AGENT OF THE APPLICANT AND IS DULY EMPOWERED TO ENTER INTO AND MAKE BINDING AGREEMENTS ON IT'S BEHALF;
(2) ALL AMOUNTS CHARGED UNDER THIS ACCOUNT ARE PAYABLE IN FULL WITHIN THE TERMS OF SALE ESTABILISHED FOR THIS ACCOUNT;
(3) ALL PAYMENTS WILL BE MADE TO AQUA & PET SUPPLY, LATROBE, PA. 15650
(4) ON BALANCES REMANINING UNPAID FOR A PERIOD OF THIRTY (30) DAYS A 2% SERVICE CHARGE WILL BE ADDED TO THE ACCOUNT,
(5) BY SIGNING BELOW, THIS CUSTOMER AUTHORIZES ALL CREDIT REFRENCES LISTED (BANK AND VENDORS) THE RIGHT TO RELEASE THE INFORMATION NECESSARY FOR PROPER EVALUATION.
DATE
SIGNED
BY *(SIGNATURE OF AUTHORIZED AGENT)
TITLE
PRINT OUT THIS PAGE
TO MAIL INFORMATION
MIN 1ST ORDER 500.00
RE-ORDERS 200.00 WHOLESALE,
MIN PACK QUANTITY PER ITEM APPLY
 Info is required to set you up as dealer pricing levels
(I charge +10% over the landed costs to me)
photo copy of Sales Tax Number
Photo copy of ADVERTISMENT -
either yellow pages or newsprint Physical Store Address Zoned as a business....
Dun & Bradstreet member Number
and Copy of cancelled Check with Business name on it..
When Inquiring for any item you are looking for, please give name of manufacturer (if known) and or Stock Number.
I may have the same in stock, or even a close substitution....
COMPLETE NAME OF BUSINESS
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE NUMBER
SOCIAL SECURITY NUMBER
FEDERAL EIN
TRADE NAME OR DBA, IF APPLICABLE
OTHER NAMES OR RELATED BUSINESS ENTITIES
SPECIFIC BUSINESS INFORMATION
TYPE OF BUSINESS
DATE BUSINESS STARTED
CORPORATION
SOLE PROPRIETORSHIP
PARTNERSHIP
BUSINESS LIC#
RESALE #
DRIVERS LICENCE (PHOTOCOPY)
#OF EMPLOYEES
DATE INC.
STATE INC. IN
NAME AND ADDRESS OF FORMER BUSINESS(S)
BANK REFRENCES
BANK NAME
BANK STREET ADDRESS
BANK CITY
STATE
ZIP CODE
PHONE
NAME OF BANK OFFICER
HOW LONG WITH THIS BANK
CHECKING ACCOUNT NUMBER
TRADE REFRENCES (LIST 3 MIN) OR MORE
NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
PHONE
PRINCIPALS OF PARTNERS (LIST 3 MIN IF NON SOLE PROP)
NAME
TITLE
HOME ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
TITLE
HOME ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
TITLE
HOME ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
TITLE
HOME ADDRESS
CITY
STATE
ZIP CODE
PHONE
NAME
TITLE
HOME ADDRESS
CITY
STATE
ZIP CODE
PHONE

HTTP://WWW.SHOPOFHORRORS.COM
HTTP://WWW.PETSTUFFOUTLET.COM
BALLOON EXPRESSIONS
WEB PAGE DESIGN SERVICE
DIVISION OF
AQUA & PET SUPPLY
348 MAIN STREET
LATROBE, PA. 15650-1563
 1 724 537-8913 VOICE LINE
Date signed___________________________________
~~~~~ END of DEALER WHOLESALE form ~~~~~ Update 01/01/2003