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Click here for the hottest new motorsports collectibles on the track! Click here for ZIPPO Custom Decorated Promotional Products for your business or organization They changed the flame. The rest is pure Zippo. Zippo Retail & Collectibles Main Page

PLEASE NOTE: 
 
 
 
All requests for consideration of enrollment
as a Zippo brand products wholesale dealer
MUST include this Fully Completed Application.
FRIVOLOUS FORMS WILL BE DISCARDED.

ATTENTION: Dealer Services Department

   SUBJECT: Zippo Dealer Enrollment Application
Your Name
Company Name
Delivery Address
Invoice Address
City
State Zip+4 Phone
Fax Date Business Started
DUNS Acct. # Owners or Principals
E-Mail Address
Web Site URL
# of Locations
Type of Business Activity
Resale Certificate #
Tax ID #
Bank Name & Branch
Bank Account Rep
Bank Address
City
State Zip+4 Account Number

Credit Reference 1
Credit Reference 2
Credit Reference 3
Credit Reference 4
- Use This Area if additional space or notes are required -

   


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