Dealer Inquiry

In order to start the process of becoming a retailer for Bill Freeman Bits, please take the time to send us the following information:

Business Name:	*
Business Address:	*
City:	*
State:	*
ZIP code:	*
Phone:	*
Fax:	*
E-mail:	*
Contact Name:	*
Contact Title:	*
Reference 1:	*
Reference 2:	*
Business Website URL:
Comments:

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Please be prepared to fax us a copy of your business license. We have a 10 bit minimum order policy. Payment terms are 30 day net.