Redz International Special Offers

Redz Comfort Paintball Products

DEALER INQUIRIES

If you are interested in becoming a REDZ dealer or distributor, please fill out the form below. If you have any questions prior to filling out this form, please call our toll-free number: 1-877-873-3432. A sales representative will be happy to help you.

BUSINESS CONTACT INFORMATION:

Business Start Date:

Company Name:

Tax ID Number:

Business Phone Number:

Business Fax Number:

E-mail Address:

Company Web Site Address:

http://

BUSINESS SHIPPING INFORMATION

Street:

City or Providence:

State:

Zip or Postal Code:

Country:

BUSINESS BILLING INFORMATION

Street:

City or Providence:

State:

Zip or Postal Code:

Country:

Business is a:

Corporation

Sole Proprietorship

Partnership

How many Retail Store Loactions do you operate from?:

OWNER'S CONTACT INFORMATION

First Name:

Last Name:

Area Code & Phone Number:

Cell Phone Number:

Business Type:

Game Field

Retail Store

Promoter

Distributor

On-line Retail

Team

Days and Hours of Operation:

through and to

Name of Current Suppliers:

LIST OF PERSONNEL WHO ARE AUTHORIZED TO PURCHASE

Name 1:

Name 2:

Name 3:

ACCOUNTS PAYABLE REPRESENTATIVE

Name:

Number:

ext.