Online Application for Dealership

Edwards Recoil Reducers

Online Application for Dealership

General Information:

Business Name:
Owner's Name:
Years in Business:	Years at this Address:
Years at Previous Address:	Do You Have an FFL:
State Tax Number:

Mailing Address:

Address1:
Address2:
City:	State:
Zip/Postal:	Country:
Phone:
Fax:
Email:

Type of Business (Check All That Apply):

Wholesaler             Retailer
Sporting Goods    Firearms
Gun Smithing       Gun Repair
Catalog Sales         General Merchandise Outlet
Other (specify)

Credit References
If Applying for Open Account Please Complete The Following (NOTE: Include Name, Address, Phone Number and Point of Contact for Each Reference):

#1Company Name:
City:
State:	Zip/Postal:Phone:
Point of Contact:

#2 Company Name:
City:
State:	Zip/Postal:Phone:
Point of Contact:

#3 Company Name:
City:
State:	Zip/Postal:Phone:
Point of Contact:

Shipping Address: If your shipping address is different please fill in the address here.

Address1:
Address2:
City:
State:
Zip/Postal:
Country:

Special Requests and Extra Information:

By Printing my name in the box below, I certify that all information is true and accurate to the best ability and will be used only for dealer certification with Edwards Recoil Reducers. I hold Edwards Recoil Reducers harmless for any and all liabilities from this web site material, contents and pricing.
Print Name Here: Date:

Please enclose referenced documents, phone, mail or fax to the address below.

Contact Information

Telephone:	FAX:
(443) 995-2157	(410) 349-1043
Address:	Email:
Edwards Recoil Reducers Attn: Sales & Product Support Division 1300 Seabright Drive Annapolis, MD 21409	Sales

Thank you for your interest in Edwards Recoil Reducer. The information you have provided will remain strictly confidential and is used only for determining eligibility for dealership.

*Note: Dealers prices on Edwards products will not be in effect until such time as a signed copy of this application, a copy of the applicant’s Federal Firearms License, and state sales tax documents are received by Edwards Recoil Reducer-Headquarters, Attn: Sales Support 1300 Seabright Dr. Annapolis, MD 21409 FAX (410) 349-1043.

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