BUSINESS INFORMATION

Business Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Date Established (required)

BUSINESS OWNER INFORMATION

Owners Full Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Cell (required)

TRADE REFERENCES

#1

Company Name

Address

City

State

Zip

#2

Company Name

Address

City

State

Zip

METHODS OF PAYMENT (Please Check One) (required)

 Check Wire Transfer COD-Money Order/Check PayPal

E-MAIL & ALERTS PROGRAM

You may join our list to receive tracking & shipping information, sellouts, updates and alerts regarding our current merchandise and new release via e-mail.

Your Email (required)

WHAT DESCRIPTION BEST FITS YOUR STORE? (Please check One)

Hobby Store Dollar Store Hockey Shop Non Sport Dealer Comic Store Gaming Mass/Market Discounter Professional Team Book Store Gift Store Military Racing Store C Store Grocery Store Newsstand Show Dealer Show Promoter Sporting Goods Sub-Distributor Toy Store 

WHAT ITEMS DO YOU CURRENTLY DISPLAY IN YOUR STORE? (Please Check All That Apply)

New Sports Cards Collectibles Magazines Games Vintage Sports Cards Supplies Racing Cards/Merchandise Comics Entertainment Cards Autographed Memorabilia Sporting Goods Toys/Figures Gift Items 

DO YOU BUY DIRECT?

Yes No Occasionally 

Upload Tax I.D., A Resale Certificate or Business License (JPEG or PDF) Max File size 2mb

By submitting this form, I authorize Great American to contact and confirm all references listed with this application. I also acknowledge that I understand and accept the above stated terms completely

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