Applicant's name and title

Company name

City, province or state, and country

Preferred contact method Choose one Email Phone Fax
Contact information (email, fax or phone)

How would you best describe your business?  Choose one Resale Manufacturing Invitation Making Artist Graphic Design Other
If other, please describe:

How do you sell your products? Check all that apply:
Storefront
Website - please give URL:
Trade Shows - which ones:
Other - please elaborate:

Within what geographic range are you currently selling your products? Choose one Within city or town area State or province-wide Nationally Internationally Other
If other, please describe:

When was your business established?  

Do you have a Federal Tax ID? If so, please provide. If not, please provide Reseller ID # or equivalent:

Who is your target market? (Price range, customer uses of paper, etc.)

What kinds of Japanese papers are you looking for? Specific lines, patterns, price range, quality, colour range...?

Other comments or questions: