Vendor Registration

	STAGEHAND SWAG

	CHICK SWAG

	TRUCKER SWAG

	SWAG RAGZ

	DECALZ

	CAPZ

	SPECIALZ

SWAG RAGZ APPAREL
12188 Central Ave. #291
Chino, CA 91710
877.723.7716

Thank You for your interest in Swag Ragz high quality line of clothing & accessories.

Completion of this electronic form will expedite the process of placing secure orders online with Swag Ragz Apparel & Accessories

Please complete the following basic information about you and your business to begin the online distributor registration process. All information boxes in bold must be completed. Click Submit at the bottom of the screen to complete registration.

Upon registration completion, you will be notified of username & password to access our secure distributor order area.

We have made every effort to make all aspects of the distributor process as easy, secure, and reliable as possible. We are excited at the prospect of your company realizing the profits that all of our distributors are!

Business Name:

Business Address:

City:

State: Zip:

Business Phone:
EXT:

Business Fax:

Contact Name:

Contact Phone (if different):
EXT:

Email:

Web Address:

Is This Business Jobber Wholesaler Retailer

Comments: