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Registered Company Name *
Trading name (if applicable)
Company Registration Number *
VAT/Tax Number *
Type of Business *	Retail Fishing Shop Online Tackle Store Distributor Charter Operator Other
Years in Operation *
Physical Storefront? *	Yes No
Company Website or Online Store URL
Physical Business Address *
City *
Province *
Postal Code *
Country *
Google Maps Business Listing Link *
Preferred PUDO Locker/Kiosk
Full Name *
Position *	Owner Manager Buyer
Email address *
Phone number *
Primary Product Focus *	Freshwater Saltwater Fly Fishing Commercial Mixed
Do you resell products to end customers? *	Yes No
Declarations & Terms *	I confirm that I am a legitimate reseller or distributor in the fishing industry I understand that wholesale pricing is strictly for approved trade customers only I certify that all information provided is accurate and may be verified I accept the Terms & Conditions