Wholesale Information Request Form
Conversation Concepts ProductLine
[Our PrivacyPolicy]

The purpose of this form is to request product and orderinginformation.

Please provide the following information:

Person Requesting Information
Title
Company or Store Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX Optional
E-mail Required

U.S. Buyers please provide Resale License #

Please select what product categories you're interested in.

AngelDogs & Cats DogItems CatItems RefrigeratorMagnets

Nautical Items HorseItems AnimalItems Other

All Items

Please select how the products will be used:

Are you presently purchasing Conversation Concepts products for Resale?Yes No

Have you Sold Conversation Concepts products in the past? YesNo

Further Comments or Questions?

Person Requesting Information
Title
Company or Store Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX	Optional
E-mail	Required

Wholesale Information Request Form Conversation Concepts ProductLine[Our PrivacyPolicy]

©2000, American International MarketingLast revised: June 22, 2000

Wholesale Information Request Form
Conversation Concepts ProductLine
[Our PrivacyPolicy]

©2000, American International Marketing
Last revised: June 22, 2000