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
*
Buyer Last Name
*
Buyer Email
*
Buyer Phone
Why Nocs?
*
How did you hear about Nocs?
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Sales Rep
Type of Customer
Briefly describe your location
Do you currently sell binoculars?
Shipping Address Line
*
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
*
Billing Address Line
*
Billing Address City
*
Billing State/Province
*
Billing Country
*
Billing Postal Code
*
Physical Store Address same as Shipping Address
*
Physical Store Address Line
*
Physical Store Address City
*
Physical Store State/Province
*
Physical Store Country
*
Physical Store Zip/Postal Code
*
Billing Contact Same as Buyer
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Billing Contact First Name
*
Billing Contact Last Name
*
Billing Contact Phone
*
Billing Contact Email
*
Would you prefer to pay using a credit card upfront, or with net 30 terms paying using a check or wire/ACH transfer?
Credit Card Upfront
Net 30 terms, paying with a check or wire/ACH
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.
*
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
