Dealer Application

This application is  for  new dealer to establish the business relationship with Angels Musical Instruments, Inc.
*required fields

    Business Name*
    Year Established*
    Phone*
    Fax
    Address*
    City*
    State*
    Zip*
    Email*
    Tax ID No.*
    Retail Registration No.*

    Ship To (if different from above)

    Name
    Address
    City
    State
    Zip

    Ownership
    Sole ProprietorshipCorporationPartnership
    Principal #1 Name
    Title


    Principal #2 Name
    Title

    Trade References

    Reference #1 Name
    Phone
    Fax
    Reference #2 Name
    Phone
    Fax

    Please Re-enter the characters shown:

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