DEALER CATALOG REQUEST and WEBSITE LOGIN APPLICATION
DEALER CATALOG REQUEST and WEBSITE LOGIN APPLICATION
Auburn Leathercrafters Phone 315-252-4107
42 Washington St. Orders 800-282-8761
Auburn, NY 13021-2496 Fax 315-252-4734
USA Website
See directions at bottom of page 2 E-mail sales@
CHECK to request catalog by mail CHECK to request LOGIN by e-mail
Without this completed form, an LOGIN account cannot be established. Date: / /
Business Name:
Mailing Address:
City, State, Zip Code:
(If different than Mail Address)
Shipping Address:
City, State, Zip Code:
Owners Name(s):
Buyer Name(s):
Telephone Number: / / Alternative Phone: / /
Cellular Number: / / Fax Number: / /
Do you operate a retail outlet from this location? Yes No
Web Site: E-Mail Address:
Federal ID Number:
And or
Sales Tax or Resale License Number:
Business Type: Check all that apply to your business:
| Full Line Pet Shop with Animals | Grooming Shop |
|Full Line Pet Shop without Animals |Feed Store |
|Pet Boutique Shop |Kennel Only |
|Gift Shop |Kennel with Retail Store |
|Mail Order |Super Pet Store |
|E-Commerce / Internet Store |Multi Unit Retailer (4 or more locations) |
|E-Bay Auction and/or Store |Dog Trainer |
|Mass Market |Veterinarian |
|Pet Walker / Pet Sitter |Grooming School |
|Humane / Pet Rescue Organization |Other (Describe) |
DEALER CATALOG REQUEST and WEBSITE LOGIN APPLICATION
Auburn Leathercrafters Phone 315-252-4107
42 Washington St. Orders 800-282-8761
Auburn, NY 13021-2496 Fax 315-252-4734
USA Website
See directions at bottom of page E-mail sales@
Pet Product Related Trade References:
List suppliers with whom you purchase merchandise from on a regular basis.
(1) Business Name:
Mailing Address:
City, State, Zip Code:
Telephone Number: / / Fax Number: / /
(2) Business Name:
Mailing Address:
City, State, Zip Code:
Telephone Number: / / Fax Number: / /
(3) Business Name:
Mailing Address:
City, State, Zip Code:
Telephone Number: / / Fax Number: / /
Form Directions:
( Use the “tab” key to advance through the fields to enter data.
( Press “shift, tab” to go back one field.
( When completed:
( Press: “Alt-F”:
( Select: “Save As”
( Please enter the file name as: “LOGIN with your store name”
( Select: “Save
When completed, do one of the following:
( Email forms to: sales@ Attention: Sales Department - DEALER FORM
( Print form(s) and MAIL to: Auburn Leathercrafters
42 Washington St
Auburn, NY 13021
( Print form(s) and FAX to: 315-252-4734
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