RETAILER PROFILE FORM
If you do not have a catalog login, please fill out the form below and a
customer service representative will contact you within 1 business day.

Store Name  
Street Address  
Store City  
State  
    Zip  
   Country  
Store Phone  
Store Website  
Will re:sound be available for purchase on your site
Yes
No
Are you already a re:sound customer
Yes
No
Store Owner  
 
Phone Number  
 
Email  
 
Buyer Name  
Phone Number  
Email  
Check if same as above
How did you hear about re:sound?


Trade Show
Which Trade Show?


Another Store
Which Store?


From A Friend
Friend's Name


Internet
Which Site?


A Magazine
Which Magazine?


Other
Please Specify


Age Range (check all that apply)
12-15
16-19
20-25
25-32
30-40
40+
Please Describe Your Customer
What Categories Does Your Store Cover
Contemporary
Young Contemporary
Intimates
Junior
Surf
Skate
Action Sports
Vintage
Furniture
Accessories
Streetwear
Please List At Least Five Brands Carried
1.
2.
3.
4.
5.
  6.
  7.
  8.
  9.
10.
Remarks