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To complete this form, you will need:

  • Your Legal Company name and mailing address

  • Your store brand name, if different from your legal name

  • Your Federal Tax ID, and your state Sales Tax ID (they're the same in many states)

  • Your store's Facebook, Twitter, and Instagram links, so we can easily direct WIN fans to you

  • The name and contact info for our primary contact at your store

Once you have that information available, the application should take no more than 5 minutes to complete.

We're excited to have you aboard!

  • Company Information
  • Primary Contact Information
  • Online / E-Commerce Info
  • Additional Information
    Should be Empty:


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