DROP SHIP APPLICATION MUST BE COMPLETED TO RECEIVE RESELLER ID You must mail or  fax this form as we require a signed copy of this form, and  this is not a secure site, and your credit card number would not be protected in email transmission. Springale refuses the right to deny any application. Reseller  will receive denial vial fax confirmation. Please print your information legibly on this form.  Company Name____________________________________________________________________________ Contact Name_____________________________________________________________________________ Street_____________________________________________________________________________ City, State, Zip______________________________________________________________________________ Mailing Address if different___________________________________________________________________ Phone Number_____________________________________________________________________________ Fax Number________________________________________________________________________________ Email address______________________________________________________________________________ URL ______________________________________________________________________________________ URL______________________________________________________________________________________ Type or Theme_____________________________________________________________________________ Credit Card #_______________________________________________________________________________ Name on Card______________________________________________________________________________ Expiration Date_____________________________________________________________________________ Would you like your promotional materials included in orders?_____________________________________ What type will you be providing?______________________________________________________________ I have read in detail the terms page,  I understand &  agree to the terms and conditions provided by Springdale Collection and I will provide a copy of my tax certificate which is required before I am approved as a RESELLER. I agree that Springdale will charge my credit card the annual $99.00 fee upon my approval. ________________________________________ Print your name __________________________________________________________________________________________ Sign your name Date Springdale Collection at Springdale Orchards fax 509-548-4473 7780 Blewett Cutoff Peshastin, WA 98847 voice 509-548-7780 info@springdaledropship.com