Registration Form
Primary Information
Company Name
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Federal Tax ID
Website
Email
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Phone
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Buyer First Name
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Buyer Last Name
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Buyer Email
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Buyer Phone
Why Nocs?
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How did you hear about Nocs?
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Who are you?
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Sales Rep
Who is your Customer
Sales Presence
Geography
Number of Doors
What Assortment of Nocs Products are you Considering?
Type of Retailer
What Activities Do Your Customer Participate In?
Shipping Address Line
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Shipping Address City
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Shipping Location State/Province
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Shipping Country
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Zip/Postal Code
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Billing Address same as Shipping Address
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Billing Address Line
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Billing Address City
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Billing State/Province
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Billing Country
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Billing Postal Code
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Physical Store Address same as Shipping Address
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Physical Store Address Line
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Physical Store Address City
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Physical Store State/Province
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Physical Store Country
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Physical Store Zip/Postal Code
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Billing Contact Same as Buyer
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Billing Contact First Name
*
Billing Contact Last Name
*
Billing Contact Phone
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Billing Contact Email
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Briefly describe your location
Do you currently sell binoculars?
Would you prefer to pay using a credit card upfront, with net 30 terms paying via wire/ACH, or upon shipment via wire/ACH?"
Credit Card Upfront
Net 30 terms, paying with a check or wire/ACH
Due Upon Receipt
Credit Card Authorization Form
Download
Reseller Agreement Link
Download
Please read through the Nocs Provisions Reseller Agreement above and write the last word in the agreement. By writing the last word below, you signify that you have read and agree to abide by the Nocs Provisions Reseller Agreement.
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Please upload a copy of your resale certificate.
If you'd like to pay using a credit card up front, please download, fill out and sign the above credit card authorization form and upload here. Please do NOT try to edit the below form and instead print out your own version
