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Account Information

* First Name

* Last Name

* Phone Number

* E-mail Address

*Required

Company Information

*Company Name

*Years in Business

*Number of employees

*Website

*Telephone

*fax

*Shipping Address

*Billing Contact

*Accounting Email for Invoices

*Billing Address

*Business Number(Ein)

*Resale Permit/Tax ID Number

*Average Monthly Sales

*Required

Retail Channels

*Number of B&M retail locations

*Number of websites used for online sales

*Names of websites used for online sales

*Amazon Store name

*Ebay Store name

*Jet Store name

*Gunbroker store name

*Required

Business Type (Check all that apply)

*code

*Required

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Address:RM 3-3-3, No. 50 Building, Yifeng Garden, No. 5 Area, Nanping, Chongqing, China.

Phone:+86-23-6253 7086 - Office

Fax:+86-23-6253 7060 - Fax

Email:info@deronoptics.com

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