Company/Organization/Individual name:
   
Address 1:
   
Address 2:
   
City, State, Zip:
   
Person to contact:
   
Your title:
   
E-Mail for correspondence:        E-Mail for orders:
   
Telephone, extension:                Fax:
               
If you have a Web site, please enter the URL:
   
How many genealogical book/CD titles do you have available for resale?
   
What is your drop-ship discount to resellers?
    Higher percentages receive preferential promotion.
    %  20% minimum 

What are your shipping/handling charges?
   

How soon do you ship upon receipt of order?
    business days

How do you ship (check all that apply)?
U.S. Mail   UPS  Fedex  Other

What is your return policy?


What are your payment terms?
    Credit Card
    Net 30 (our check mailed at monthly intervals)
    PayPal E-Mail to:
    Other:  

Additional comments: