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3M
Promotional Markets powered by CCA Occasions Ltd. Distirbutor Application
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Indicates Required Fields
Business
Legal Business Name
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Company name listed on purchase order(if different than the legal business name)
Address
Street Address
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City
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Zip
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Phone
Please enter numbers only, no characters.
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Fax
Please enter numbers only, no characters.
Owner’s Name
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Additional Contact Name
Billing
Billing Location
Check if same as above
Currency
I would like to be billed in Pounds sterling
I would like to be billed in Euros
Business Name
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Contact Name
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Address
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PO Box
Zip
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Phone
Please enter numbers only, no characters.
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Fax
Please enter numbers only, no characters.
Email
Accounts Payable Email Address. All invoices and statements will be sent to this address.
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Contact Email Address
Company Information
Types of Business (Please check all that apply)
Single Location
Franchise
Branch Office
Advertising Agency
Other
What primary industries do you service? (Please check all that apply)
Healthcare
Insurance
Financial
Education
Automotive
Retail
Manufacturing
Non-Profit
Real Estate
Service
Other
What tools do you utilize to market products? (Please check all that apply)
Catalog
Product flyers
Samples
Email
Sales force
Store front
Enter your email address below to join our exclusive group of distributors receiving our promotional email and updates.
Communications will be sent by 3M Promotional Markets powered by CCA Occasions Ltd located at:
91 Clydesdale Place, Moss side Industrial Estate, Leylane, PR267Q.
You can opt out of these emails at anytime by clicking the opt out link at the bottom of our emails or contacting us to remove you from the list.
Exemption
Check if
not
exempt from sales tax
You will be charged appropriate sales tax on all orders.
I, the undersigned purchaser, hereby certify that all of the above information pertaining to my business is correct.
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Digital Signature of Authorized Purchaser
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I have read and understand that completing and submitting the application does not guarantee approval to become a 3M Promotional Markets Distributor Powered by CCA Occasions Distributor. I understand that I will be notified by email if my application is approved and I will receive an account number at that time.
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Notes
Signature of Purchaser
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Title of Authorized Purchaser
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Date
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