Remembrance Stones for unveilings, bereavement, memorial, shivah, yahrzeit, monuments, mourners.

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Become a Retailer

We are pleased that you wish to join the expanding retailer network. Remembrance Stones™ supports its dealer network through media advertising support and through website referrals. With your permission, we will post your name, address and telephone number so interested consumers can contact you to purchase these very special stones. Also, upon request, we will provide retailers with countertop displays to assist in marketing this very new product.

Once you fill out the form below it will be automatically transmitted to our executive offices.

We will promptly assign a retailer ID which will be necessary to log in. Dealer prices are only available to authorized resellers. Thank you for your interest in Remembrance Stones™.

* Required information
APPLICANT INFORMATION
Company Name:	*
Type of Business:
Federal ID:	*
Phone:	*
Best time to contact you?
Address:	*
City:	*
State (Ex: NJ):	*
Zip Code:	*
Email Address:	*
Website (www.) Address:
Contact Person:	*
Title of Contact:
Year Established:
SALES TAX INFORMATION
Are you a non-profit organization?:	Yes: No:*
Sales tax exemption number (nonprofit only) or Sales tax resale certificate number (for profit resellers):	*
Year Established:	*
State of Organization:	*
Expected Annual Purchases?
MARKETING ASSISTANCE
Will our products be resold by your organization?	Yes: No:*
Your Primary Market?
Can we list you on our web site?	Yes: No:*
May we use your organization as a reference?	Yes: No:*
REFERENCE INFORMATION
How did you learn of Remembrance Stones?
Advertising Source:
Internet link:
Referred By: