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DOMESTIC AND INTERNATIONAL CUSTOMER APPROVAL FORM
ONE of THREE
DATE
(Month/Day/Year)
BRANDS
(Check all that apply)
FLOGG
BADGLEY MISCHKA
CHARLES JOURDAN
FRENCH FOLLIES
PENNY LOVES KENNY
JOE'S JEANS
L.A.M.B.
VIVIENNE WESTWOOD
Corporate Name
DBA Name
OWNER'S NAME
BUYER'S NAME
ADDRESS
CITY
STATE AND COUNTRY
ZIP
PHONE
FAX
EMAIL
WEBSITE
PASSWORD
CONFIRM PASSWORD
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DOMESTIC AND INTERNATIONAL CUSTOMER APPROVAL FORM
TWO of THREE
TYPE OF STORE
(Check all that apply)
DEPARTMENT STORE
MULTI STORE (4+)
CLOSEOUT
INDEPENDENT
SHOES ONLY
FOREIGN
BOUTIQUE
MAIL ORDER
OTHER
YEAR BUSINESS ESTABLISHED
PRESENT LOCATION SINCE
ARE YOU CURRENTLY DOING BUSINESS WITH TITAN INDUSTRIES, INC.?
No
Yes
IF YOU ANSWERED "YES", WHICH TITAN DIVISION?
COMPARABLE FOOTWEAR LINES YOU ARE CURRENTLY DOING BUSINESS WITH:
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DOMESTIC AND INTERNATIONAL CUSTOMER APPROVAL FORM
THREE of THREE
NUMBER OF STORES YOU OPERATE
LOCATION
(Please disclose all locations)
MORE LOCATIONS
UPLOAD STORE PHOTOS
(Minimum 3, up to 5)
PHOTO 1: FRONT STORE
(Required)
PHOTO 2: INTERIOR
(Required)
PHOTO 3: INTERIOR
(Required)
MORE PHOTOS
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