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Drop Ship Account - Email Address      Password     

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DROP SHIPPING ACCOUNT
APPLICATION FORM



Space marked with * must be filled out.
General Information:
*Email (Login ID): *Password:
*Confirm Password:
*Company Name: DBA/Trade Name:
Type of Company:  Corporation  Partnership  Sole Proprietorship  L.L.C. 
*Phone: Fax:
Website:

Company Directors / Officers / Principles: 
*First Name: *Last Name:
*Title:

Billing Address:  Shipping Address: 
Check if same as Billing Address
*Address (Line 1) *Address (Line 1)
Address (Line 2) Address (Line 2)
*City: *City:
*State/Province:
*State/Province:
*Country: *Country:
*Zip Code: *Zip Code:
Check here if you agree to our Terms of Service and Privacy Policy.
Check here if you agree to be bound by our Drop Ship Agreement in using this Service.
Check here if you agree to pay a one-time Anime International Drop Shipping Application Fee of $99 USD (Please Note: If your application is declined you will be refunded)



Anime International Proudly Accepts

Visa, MasterCard, American Express, Discover, Diners Club, JCB, Carte Blanche and E-Check
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