test Business Name Business Billing Address Use a different address for shipping Business Shipping Address Retailer DBA Name (if different than above) Retailer Website Business Tax Identification # Buyer Name Buyer Email Buyer Phone Number Describe your distribution operation. How many stores do you service? Are they physical and/or virtual? What is the nature of the stores serviced? What is the geographic area coverage? If any of your customers sell online on third party platforms (e.g - Amazon, Rakuten, etc), please specify the platforms that are used. No need to fill this out. Please tell us a few words about your business and current offerings Submit Δ