Interested in being a hairball creations distributor ?
Please take a moment to complete this short questionnaire.
This information will be used to help us prepare mailings and product info to
send to you.
This information will not be shared or sold to third parties.
Once we receive your data, we will contact you within 7 business days.
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Hairball Creations |
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must complete the following required information and return to us via mail or fax. Please print clearly. |
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NEW CUSTOMER FORM |
Print & Fax Form |
| Store Name __________________________ | |
| Address ____________________________ | Owner _____________________________ |
| City/ Province ________________________ | Buyer Contact: ________________________ |
| State _______________________________ | Buyer Contact: ________________________ |
| Zip/Postal Code ______________________ | Payment Options: (check one) |
| Country _____________________________ |
_____ MasterCard _____Visa |
| Phone _________________________ | |
| Fax ___________________________ | E-mail _______________________________ |
How did you here about Hairball Creations?
What type of merchandise do you sell? |
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