API testing 10759 2545 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 31. Business InformationCompany's Legal NameCompany WebsiteBusiness TypeDistributorService ProviderManufacturerCompany Founding YearPhone Business License NumberEmailTax Identification Number (TIN)2. Business Information address Company's & Comments: Billing Business AddressAddress Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryShipping AddressAddress Line 1CityState / Province / Region3. Ownership Information Owner(s) Name(s)Email Percentage of Ownership Selected Value: 0 PhoneNext4. Legal & Compliance Has your company ever filed for bankruptcy?YESNOPlease explain5. Industry References Comments: (Any additional information you wish to provide)6. Personal GuaranteeThe undersigned ("Guarantor") personally guarantees full payment of all obligations of the Dealer to Flytechy Inc. DBA Fishtechy.This guarantee is unconditional and remains in effect until all obligations are satisfied. The Guarantor waives any notice of default and agrees to pay immediately upon demand if the Dealer defaults NameDateSignature Clear Signature PreviousNext7. Credit Card PolicyWe accept Visa, MasterCard, Discover, and American Express When you use a credit card, a pre-authorization for the amount of the product ordered will be applied, typically within one business day of receiving your Purchase Order. This amount will appear as pending on your credit card account until the order is shipped.During the pre authorization stage, funds have not been received, but they are reserved from your available credit. NameDateSignature Clear Signature 8. Terms & SignatureDealer TermsNet 30Supply and Inventory: The company shall supply products to the dealer at agreed prices and quantities, ensuring timely delivery based on demand forecasts and orders submitted by the dealer. Sales and Marketing Responsibilities: The dealer is responsible for promoting, marketing, and selling the company’s products using approved strategies, maintaining brand integrity, and ensuring professional customer service. The Manufacturer's Suggested Retail Price (MSRP) of the product is $35. This price is set by the manufacturer and may be subject to change. Please note that the MSRP is a suggested price and does not include any applicable taxes, shipping, or handling fees. NameDateSignature Clear Signature PreviousSubmit