Print a blank New Account Form
 

 


NEW ACCOUNT FORM
Please fill out this form completely and a WCN representative contact you within a week to discuss your business, and the possibility of opening an account. In order to open an account with WCN, and purchase licensed apparel and headwear, you must either operate a retail store, or be in the process of opening one.

Date
Company Information

Contact Name

Storefront Name
Storefront Address
Storefront Address 2
City
State Zip:
Phone
Fax
Email
Website Address

# of Stores

How long in business?
Resale Permit #
   

Other Licensed Product Suppliers
1.
2.
Other Suppliers
1.
2.

Company Type (choose one):
Airport Shop Gift Shop
Amusement Park Shop Grocery/Food Shop
Apparel Specialty Stores Hotel Shop
Athletic Specialty Stores Hypermart
Better Department Stores Internet
Casino Shop Licensee Retail Outlet
Catalog Mass market
Closeout Store Mid Dept./Value Dept. Stores
Stadium Shop/Concessionaire Souvenir Shop
Convenience Store Sporting Goods Stores
Distributor Street Vendor
Drug Store Team Shop
Exporter TV Retail
Fan Shop Warehouse Club Store
Items/Categories Currently Selling
 
Source of Lead / How did you hear about us?
Advertising Specify
Trade Show Specify
Referral Specify
Other Specify

WCN Products Interested In:
NFL MLB
NBA NHL
College Custom
Travel Fashion
Other

 

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