Little Pim: Resellers: On Line Resellers

On Line Resellers

We welcome your interest in becoming an on line reseller of Little Pim.

To receive volume-driven discounts on your orders, please register below. After you submit this form, you will immediately receive a promo code for placing your order on line today.

For further inquiries, please call 646-230-6228, x 215.

More info

NOTE: Fields marked with * are mandatory.

Company Information

Company Name *

Number of store locations (if applicable)

Contact Person *

Street Address *

Address (cont.)

City *

State *

Zipcode

Tel

Fax

Email *

Website

Annual Revenues

Description of Business

Years in Business

Reference Clients

Target Geographic Market

Please describe your volume requirement
for Little Pim Products:

Initial Order:

French:

Spanish:

Chinese:

English:

Year 1:

French:

Spanish:

Chinese:

English:

Year 2:

French:

Spanish:

Chinese:

English:

Year 3:

French:

Spanish:

Chinese:

English:

If you prefer to fax this form, please print it now and send it to 646-230-6388.

Thank you for taking the time to complete this form.