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General Information Account ID Company Name Contact Name Customer Type Select Value I am a Consumer for personal use I represent a Retail Outlet I represent a Website Store I represent a Wholesale Distributor I represent a Mail Order Catalog Web Address Email Address Tel 1 Tel 2 Fax Password Billing Address Billing Address Billing Address 2 Billing City Billing State Billing Zip Code Billing Country Shipping Address Leave empty if same as Billing address Shipping Address Shipping Address 2 Shipping City Shipping State Shipping Zip Code Shipping Country Additional Information 1) How long have you been in business? 2) Do you currently have a legal business license AND re-sellers permit? 3) Do you operate a brick-and-mortar store or a website or both? 4) Will you be keeping your own inventory or relying on drop-ship? 5) Which CampCo products do you plan on carrying? Please be specific. 6) How did you find out about CampCo? Please enter Verification Code: