Rich Frog Industries Inc.

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Request Catalog

If you represent a retail store or web-based retail business, and would like to receive our wholesale catalog, please fill out and submit the following form. Upon reviewing your request, if you qualify we will send the catalog by mail to the address that you have indicated.

Please note that any information collected will be held in the strictest confidence and will not be used by anyone outside of Rich Frog Industries, Inc.

Your details

All required fields are in bold

Company Name
Company Address
City
State/Province
Zip/Postal Code
Country
State resale number
Your title
Your name
Position Choose an option Owner Buyer Store Manager Other
Contact Name
Email
Telephone #
Fax #

Questionnaire

1) Do you have a store front? (if No: got to question 4) Choose an option Yes No
2) What is the name and address of the store (if different from above address)?
3) Please describe the store.
4) Do you sell on the web (if No: go to question 6) Choose an option Yes No
5) What is the web site URL?
6) If you do not have a storefront, or sell on the web, please describe the nature of your business.
7) How did you hear about us? Choose an option Postcard Referral Internet Browsing Product Packaging TD Monthly Other
If other, please provide more information
8) Address to send catalog (if different from above)
9) Do you wish to open an account with us? Choose an option Yes No
10) Would you like a sales representative to visit you? Choose an option Yes No