| * Signing up for: |
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| * Last Name: |
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| * First Name: |
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| * Please list the person's name that introduced
you to The Gourmet Cupboard. This assures
us that the distributor will receive proper
credit and you will receive the support you
need to succeed in your business!:
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| * Mailing Address: |
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| * City: |
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| * State: |
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| * Zip: |
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| * Country: |
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| * Shipping Address: |
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| * City: |
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| * State: |
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| * Zip: |
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| * Country: |
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| APO Address: |
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| * Home Phone: |
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| Cell Phone: |
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| Work Phone: |
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| Website Address: |
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* What you want your re-order labels to read: (up to 3 lines)
Reorder labels can be placed on your mixes
for your customers to contact you for more products
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| * How did your hear about our website? |
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Retailers please complete the following form
This if for customers selling TGC products
in a retail location or shop.
Note: Retail customers are required a $100
1st order and $50 min for each order after
that. You will receive the same monthly newsletter
that goes out to each distributor, and your
storefront will be listed on our main website.
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| Doing Business as Name: |
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| Type of Business: |
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| Resale Number: |
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| Conctact: |
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| Position: |
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* Required
We have made a firm commitment to protect
all customer information provided and to
take a stand against spam. We will not license,
sell, exchange or distribute any personally
identifying information to any third parties.
The information obtained above will be used
only for the purpose stated above.
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