Dealer Application

Moore Outdoors Productions & Products LLC
Pulaski, WI 54162
Phone: 920-615-5788
Email: Scottb@dogbonehunter.com

Thank you for your interest in becoming a DogBone products dealer. Please note that we ONLY partner with brick-and-morter retailers. Once this form is submitted we will reach out with a dealer order form, catalog, and pricing information.

* : required

Business Name:*Website:

Primary Phone:*Fax Number:

Mailing Address:*City:*

State:*Zip:*

Different Shipping Address?* Yes No

List Other Locations:

Primary Contact:*Position:*

Email Address:*

I herby certify that I will not sell DogBone, HODAG, or Moore Outdoors products on Amazon or other 3rd party online platforms.:*Phone:*

Type of Ownership:*

EIN:*Sales Tax #:*

Upload a copy of your business license, EIN form or state license:*

Upload a copy of your W9:*

Principal Owners/Officers

Name:*Position:*

Email:*Phone:*

Add Another Owner/Officer

PERSONAL GUARANTEE – PLEASE DO NOT INCLUDE TITLE WHEN SIGNING PERSONAL GUARANTEE

For value received, including merchandise, services, or other valuable consideration, I hereby unconditionally guarantee at all times, full and prompt payment, upon demand, of any indebtedness, which has been incurred under this agreement. I understand this to mean that I will personally guarantee payment of all debts and obligations under this agreement.

You are authorized to contact parties indicated on this application for verification. For purposes of obtaining credit, I/We certify that the information given in this application is true and accurate, and any financial information submitted correctly reflects our financial condition. I/We agree to pay all invoices within stated terms and to pay services charges on amounts paid after invoice due dates at a rate of 1.5% per month, or the maximum allowable rate, whichever is less. In event suit is instituted to collect amounts owing to you and a judgment is rendered in your favor, I/We agree to pay court costs and reasonable attorney fees. I/We have read this agreement and a copy has been made available to us or is available to us upon our requesting same from the credit department.

Name:*Date:*

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Signature:*

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Dealer Application

Principal Owners/Officers

PERSONAL GUARANTEE – PLEASE DO NOT INCLUDE TITLE WHEN SIGNING PERSONAL GUARANTEE

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