Wholesale Account Information form
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COOPER DESIGNS GLASS-METAL 27 Owens Lane Blue Hill, ME 04614 207-374-5940 rcooper@nlis.net www.cooperbeads.com WHOLESALE ACCOUNT INFORMATION Business name________________________________________________ Contact person________________________________________________ Title________________________________________________________ Business address______________________________________________ ______________________________________________ ______________________________________________ Sales Tax number and state ______________________________________ Phone____________________ Email______________________________ Website__________________ Cell phone_______________________________ Type of business: Bead shop_______ Jewelry store__________ Craft shop or gallery___________ Jewelry designer___________ Other_____________ _____ Yes, I would like to receive periodic email updates about new products and classes. _____ Please list my website as a LINK on your website under the following category: Bead Shops, Jewelry Designers, Suppliers, Galleries and Jewelry Stores (please circle one or more) I am primarily interested in ___ Boro glass beads ___ Frit beads ___ Soft glass beads ___ PMC ___ Classes THANK YOU |
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