Please fill out this application completely then fax, mail or email it with a
copy of your State Resale Certificate.
Once we have your complete information,
we will be happy to send you our current catalog.
Your Name:
Your position:
Company Name:
Contact Person, if different:
Store/Shipping Address:
(including City, State, and Zip)
Billing Address, if different:
(including City, State, and Zip)
Mailing Address, if different:
(including City, State, and Zip)
Company Phone:
Company Fax:
Email Address:
Website Address:
Where did you hear about Dryad?
How long has your company been in business?
Please describe your business, where you do business (store, web, fairs, catalog,
etc.),
give us an idea of your product focus and your target audience:
Type of business (please check all that apply)
brick and mortar
fairs and festivals
web site
web auction
ebay store
flea markets
State Resale Number (New Hampshire & Oregon EIN or FED ID#):