GUILDHALL
DEALER APPLICATION

Please provide the following information. You may email the form directly with the submit button below. You may also print this page, fill in the information and fax it to us at 817-740-9600 or mail it to 3505 NW Loop 820 Fort Worth, Tx 76106.

Galley/Artist Name
Contact Person
Business phone
Fax number
Email address
Web URL
Address
City
State
Zip code
Country
Years in Business
Tax Resale Number

Primary customers to whom you will sell. (Collectors, Decorators, Commercial, Residential)

Sales Objectives in Dollars for the next 12 months:

Your method of payment for purchases: credit card number and expiration date or personal/company check:

Credit Card (check all that apply):



Discover
Visa
MasterCard
American Express
Check Information (name on account):
Personal Check
Company Check


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All Contents Copyright 2000, Guildhall, Inc.; All Rights Reserved.
This page was last updated on March 10, 2000.