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1.
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Name of Company / Organization (if any) |
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2.
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________________________________________________________________________________
Contact Person |
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3.
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________________________________________________________________________________
Address |
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4.
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_____________________________
City |
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State |
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Zip |
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5.
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_______________________
Phone |
_______________________
Fax |
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6.
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________________________________________________________________________________
Email address |
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7.
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________________________________________________________________________________
Company Web site and link to the product (if any) |
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8.
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________________________________________________________________________________
Product name |
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9.
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Product retail price |
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10.
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Do
you currently sell this product? Yes _____ No _____ *
If yes where do you sell it?
________________________________________________________________________________ |
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11.
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Do
you or your company/organization have the ability to
ship this product to a customer?
Yes _____ No _____
*
If yes do you keep this product in stock? Yes _____
No _____
*
If yes, how many products do you usually keep in stock?
________________________________________________________________________________
How
long will it take to ship the product once an order
is received & what methods of shipping
can you provide?
UPS _____ Overnight _____ Other ___________________________________________________
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12.
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Do
you want National IWITTS to ship this product for you?
Yes _____ No _____ |
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13.
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________________________________________________________________________________
Date you can start supplying the product
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Thank
you for your interest in WomenTechWorld Estore
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