Dealer Questionnaire

Dealer Questionaire

Application

Business Name

Store Website URL

http://

Contact Name

First Name

Last Name

Email Address

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What does your shop specialize in?

How did you first hear about Rinpoch?

What Rinpoch products are you most interested in selling?

How many products are you considering purchasing for your first order?

Please let us know if there is any additional information about your shop that you would like us to know about. Or if you have any questions for us. Thank You!