Banberry Designs, Inc. :: Profile details

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Before prodeeding further, please note the following:

You must have a Federal ID#

Provide us your State Sales Tax#

Opening order amount is $200.00

Minimum reorder amount is $200.00

The form below allows you to create a profile. If your profile is approved we will grant you membership via email which is necessary to place orders. Do not forget that this information is essential to use our services correctly.

The fields marked with * are mandatory.

Personal information
First name	*
Last name	*
Company	*
Web site
Tax number	*
Phone	*
Banberry Cust. ID#
Billing address
First name	*
Last name	*
Address	*
Address (line 2)
City	*
State	*
Country

Zip/Postal code	*
Phone
Fax
Ship to a different address
First name	*
Last name	*
Address	*
Address (line 2)
City	*
State	*
Country

Zip/Postal code	*
Phone
Fax
Account information
Email	*	Make sure you enter a valid email address because the store will send you notifications to this address.
Sign up for membership

Password	*
Confirm password	*
Image verification Type the characters you see in the picture: *
I accept the "Terms & Conditions"

All information you provide to us will be kept confidential. We will never sell, exchange or market it in any way.

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