📋 Application Form – DC Pet Distribution

Section 1: General Customer Information

Company Name / Trade Name:

Company Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shipping Address (if different):

Phone

(###)

###

####

Website/Social Media (optional)

Section 2: Customer Type

Select one:

Section 3: Tax Information and Documentation

Are you located within the United States?

YES

Section 4: Business Information

How long has your company been operating? (Years in numbers)

What type of pet products do you currently sell?

Brands you work with:

Brands you are interested in purchasing:

Estimated monthly purchase amount (USD):

Between $1,000 – $5,000

Between $5,000 – $10,000

More than $10,000

Section 5: Acceptance of Terms and Conditions

📄 Please read our Terms and Conditions before submitting this application:

Please confirm before finishing your application:

I confirm that I have read and accept the Terms and Conditions of DC Pet Distribution.

I confirm that all information provided is truthful and up to date.

Electronic Signature (Enter full name):

First Name

Last Name