LOGIN REQUEST

 
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    - Please fill up completely the form below, any missing Information will result cancellation of this request.

    - A copy of your Taxi I.D. Certificate or sellers permit MUST be faxed to the following # (1.818.252.7086) or e-mailed in

    order for us to   process your application.

    - You will receive your USER NAME and PASSWORD within a week after approval.

    - Your user name will allowed to access the complete Tony Shoes Catalog with the prices plus you will receive a  

    notification of all SALE and closeouts deals.

 

 Company Name:
 Customer ID:
 Contact Name:
 Address:
 Address (2):
 City:
 State:
 Zip Code:
 Country:
 Phone:
 Fax:
 Tax I.D. (Resale #): (if inside U.S.A.)
 Business Registration: (if outside U.S.A.)
 Have you already requested a catalog?  Yes    No

 Have you Faxed us your business

  license?

  Yes    No

 Please Fax us a copy of the Resale # or Business Registration to 1.818.252.7086
 URL: (if you have a website)
 E-mail Address:

 

 

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