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Patagonia Corporate Sales Application Form

Questions marked by * are required.
1.Company Name: *
1.Contact Name: *
2.Email Address: *
3.Company Address: *
4.Company Phone Number: *
5.Please tell us about your company, and how you would like to use the Patagonia co-branded gear: *
6.Are you re-selling this gear, and to whom?: *
7.Do you have an on-line presence? -- URL: *
8.Do you have online retail access, either to your site or client stores (an online store)? -- If yes, please describe: *
9.Do you want to sell these garments directly to consumers - either through a website or a retail store?: *
10.Do you sell any un-decorated gear: *
11.Would you like invoices emailed to you? If yes, to what email address: *