BUSINESS NAME *

CONTACT NAME *

BUSINESS ADDRESS *

CITY *

STATE / PROVIDENCE *

ZIP / POSTAL CODE *

COUNTRY *

EMAIL ADDRESS *

BUSINESS PHONE NUMBER *

BUSINESS WEBSITE ADDRESS *

DO YOU CURRENTLY SELL APPAREL & HEADWEAR? *

HOW LONG HAVE YOU BEEN IN BUSINESS? *

WHO DO YOU SELL OR DISTRIBUTE TO (OTHER BUSINESSES, SPORTS TEAMS, INDIVIDUALS, SCHOOL, NON PROFITS, ETC.): *

HOW DO YOU SELL YOUR PRODUCTS? (RETAIL LOCATION, WHOLESALE, INTERNET?) *
RETAIL LOCATIONWHOLESALEHOME OFFICEINTERNETOTHER
IF OTHER