RESELLER APLICATION

RE-SELLER APPLICATION & AGREEMENT

* Indicates required field

Business Name *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Phone Number *

Celular Phone Number *

Email *

Current Website? *

Type of Organization *

Business Federal ID # *

(if no Feb. ID # available): Enter Social Security # *

Affiliate Program *

Once your "COMPLETE" application is received, one of our
representatives will contact you for further instructions and
to acquire the necessary information to complete your
"Starter Kit" and to receive your wholesale pricing. Agreement Terms

Do you accept all of our terms and agreement? *

Yes No

CREDIT CARD PRE-CHARGE AUTHORIZATION: Your credit card number, will be kept strictly confidential and with this authorization form, you allow us to pre-charge any product or service you purchase from us. All orders are pre-pay only. All payments for products under www.lingoprinting.com are done automatically through the website.

Credit Card Number *

Expiration Date *

3 Digit Number on back of card *

Zip Code Associated with card. *

Describe how you will market/sell our marketing products and services. *

STARTER KIT
You receive a starter kit that comes with personalized print materials. Bellow, please provide us with the Contact Information you would like added. Please describe in detail any extra information you would like added to your cards.

Starter Kit Information *

Upload LOGO or Photos Wanted on Website and Starter Kit *

Max file size: 20MB

Would you like a website? (Only if desired) *

YES NO

If no website is desired, skip next step. If you do desire a website and currently do not have one, please provide us with 3 desired domain names. 1 being the best and 3 least. We will acquire the domain that is available.

Domain Choice #1 *

Domain Choice #2 *

Domain Choice #3 *

Submit "HAPPY SELLING"

By submitting this information, you consent and accept our terms and conditions.