BARFOOT Dealer Application
Thank you for choosing BARFOOT! Please complete the following application. If you have any questions
regarding this dealer application, please contact us at (805) 509-8003.
FIRM NAME ______________________
DBA __________________________
ADDRESS ________________________________________________________
CITY __________________________ STATE ___________ ZIP _______________
STORE TEL ______________________________ FAX _________________________________
EMAIL*__________________________ EMAIL INVOICES TO ______________________
*Email address is needed for online ordering. May we use this address to contact you? YES
NO
RESALE TAX ID # (REQUIRED IN CA ONLY) ______________________________________________
YEARS IN BUSINESS _____________________________
CORPORATION
SOLE PROPRIETORSHIP
PARTNERSHIP
LLC
OWNER’S NAME __________________________________ HOME PHONE ______________________
HOME ADDRESS _____________________________________________________________________
DRIVERS LICENSE # ____________________ SOCIAL SECURITY # ______________________
WHO HANDLES YOUR ACCOUNTS PAYABLE?:
NAME: ______________________________________ PHONE #: ____________________
AUTHORIZED BUYERS: ______________________________________________________________
TYPE OF STORE: (IE: SKATE, SURF, SNOW, SPORT, ETC..._________________________________
DO YOU: OWN
RENT
SHOP LOCATION: Shopping Mall
LEASE
THE BUILDING YOUR STORE OCCUPIES?
Strip Mall
Free Standing Building
If more than one retail store front location, please list information below:
DO YOU CURRENTLY SELL ON-LINE? ___________
Other_________
IF SO, PLEASE PROVIDE WEB ADDRESS ______________________________________________
IF NOT, DO YOU PLAN TO SELL ON-LINE? ____________
FINANCIAL INFORMATION
IF YOU WISH TO PAY WITH A CREDIT CARD (CVV2/SECURITY CODE REQUIRED)
CREDIT CARD INFORMATION: VISA ( ) MASTERCARD ( ) DISCOVER ( ) AMERICAN EXPRESS (
) IS THIS A DEBIT CARD: YES ( ) NO ( )
CARD NUMBER ___________________________ EXPIRATION DATE ________ CVV2* _________
*VISA, MASTERCARD & DISCOVER – 3 DIGITS AFTER CARD # ON BACK OF CARD *AM EXPRESS
– 4 DIGITS AFTER CARD # ON FRONT OF CARD
NAME AS IT APPEARS ON CARD __________________________________________
CC BILL TO ADDRESS ____________________________________________________________
CC BILL TO PHONE NUMBER ___________________________
PLEASE BE ADVISED THAT ALL CC INFORMATION IS CONFIDENTIAL AND KEPT ON FILE IN A
SECURED PLACE
ARE YOU CURRENTLY DOING BUSINESS WITH OTHER COMPANIES IN OUR INDUSTRY? IF SO,
PLEASE LIST THE COMPANIES BELOW:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
WHERE DID YOU HEAR ABOUT US?
THRASHER
THE SKATEBOARDERS JOURNAL
CONCRETE WAVE
THESKATEBOARDMAG
SURF EXPO ONLINE
TRANSWORLD BUSINESS
TAXS LONGBOARD
ESM LOCAL SESSIONS
OTHER PUBLICATION ______________
SKATEBOARD DIRECTORY
GOOGLE SEARCH
OTHER SEARCH ______________________________
SILVERFISH LONGBOARDING.COM
WHEELBASEMAG.COM
OTHER SHOP_________
APPLICANT’S SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY, ABILITY AND WILLINGNESS TO
PAY OUR INVOICES IN ACCORDANCE WITH OUR TERMS. APPLICANT AGREES TO PAY
REASONABLE ATTORNEY FEES PLUS INTEREST IN CASE OF DEFAULT IN PAYMENTS IN
COMPLIANCE WITH TERMS. APPLICANT PERSONALLY GUARANTEES TO PAY THE CHARGES
INCURRED IF THE COMPANY SHOULD FAIL TO DO SO. APPLICANT’S SIGNATURE ALSO
AUTHORIZES ANY CHARGE MADE TO YOUR CREDIT CARD FOR DELINQUENT PAYMENTS,
SALES, AND/OR RESTOCKING FEES. THIS SIGNATURE VOIDS ANY CHARGEBACKS FILED.
APPROVAL IS CONTINGENT UPON THE LOCATION OF YOUR OPERATION IN RELATIONSHIP TO
BARFOOT’S EXISTING CUSTOMERS. BARFOOT RESERVES THE RIGHT TO RESTRICT SALES OF
CERTAIN BRAND NAMES BASED UPON OUR AGREEMENTS WITH MANUFACTURERS.
APPLICANT’S SIGNATURE ALSO ACKNOWLEDGES THAT YOU HAVE READ OUR POLICIES PAGE,
INCLUDED WITHIN THIS DEALER APPLICATION.
SIGNATURE _____________________________________TITLE _____________________
PRINT __________________________________________ DATE _____________________
AFTER COMPLETING THIS FORM, PLEASE MAIL IT TO:
BARFOOT ATTN: NEW ACCOUNTS • PO BOX 1207, VENTURA, CA 93003
BARFOOT’S POLICIES PAYMENT INFORMATION
1. WE ACCEPT VISA AND MASTERCARD. RECENTLY OPENED RETAIL SHOPS WITH LIMITED
CREDIT HISTORY MAY PAY EITHER WITH A CREDIT CARD OR WITH A CERTIFIED FUNDS CHECK
ON DELIVERY.
2. ESTABLISHED SHOPS THAT PROVIDE REFERENCES WITH A GOOD CREDIT HISTORY WILL BE
CONSIDERED FOR COD-COMPANY CHECK PRIVILEGES. THERE MAY BE A SET LIMIT AMOUNT
IN WHICH YOU CAN WRITE THE COMPANY CHECK. UPON APPROVAL OF YOUR COMPANY
CHECK REQUEST, YOU WILL BE REQUIRED TO PROVIDE US WITH A CREDIT CARD NUMBER.
BARFOOT RETAINS THE RIGHT TO CHARGE THIS CREDIT CARD AT ANYTIME FOR A NONSUFFICIENT FUNDS CHECK AND ANY OTHER RELATED DEBTS.
3. TERMS ARE LIMITED TO ACCOUNTS BASED ON REFERENCES THAT REFLECT AN
OUTSTANDING PAY HISTORY, YEARS IN BUSINESS, ETC... UPON APPROVAL OF TERMS
REQUEST, A CREDIT CARD NUMBER MUST BE PROVIDED.
RETURNED CHECKS
A $25.00 NSF FEE WILL BE ADDED TO THE COD TOTAL OF YOUR NEXT ORDER. THIS ORDER
WILL BE SHIPPED COD- CERTIFIED FUNDS UNLESS YOU PRE-PAY WITH A CREDIT CARD.
REFUSED ORDERS
ALL REFUSED ORDERS WILL BE RESTOCKED AND CHARGED A 10% RESTOCKING FEE OR
$50.00 (IF THE ORDER IS LESS THAN $500.00) PLUS ALL SHIPPING CHARGES, UNLESS PRIOR
ARRANGEMENTS ARE MADE TO RESHIP THE ORDER BEFORE IT REACHES OUR WAREHOUSE.
ALL CERTIFIED FUND ORDERS THAT ARE RESHIPPED ARE RELEASED PRE-PAID ONLY.
RETURNS & DEFECTS
CUSTOMER SERVICE MUST ISSUE A RETURN AUTHORIZATION NUMBER FOR DEFECTIVE
PRODUCT TO BE SENT BACK.
SHORTAGES/ERRORS
CUSTOMER SERVICE MUST BE CONTACTED WITHIN 10 DAYS OF RECEIVING YOUR ORDER
WITH DISCREPANCIES. NO BACKORDERS.
BACK ORDERS PRICES
PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. WE ASK CUSTOMERS TO ADHERE TO
MSRP/MAP PRICING.
ADDRESS/OWNERSHIP CHANGES
IT IS THE RESPONSIBILITY OF THE SHOP TO INFORM BARFOOT OF ANY CHANGES IN REGARD
TO THE RETAIL ADDRESS/ WEB ADDRESS, OWNERSHIP AND OR NAME OF STORE. PRODUCTS
PURCHACED FROM BARFOOT WILL NOT TO BE SOLD ON eBay STORES. PLEASE CONTACT
BARFOOT IF YOU PLAN ON LISTING YOUR PRODUCTS PURCHASED FROM US ON OTHER SITES
BESIDES THE ONE YOU HAVE LISTED ON THIS DEALER APPLICATION.
PERSONAL GUARANTEE
MUST BE SIGNED TO BE CONSIDERED FOR PRIVILEGE OF PAYING WITH A COMPANY CHECK;
OTHERWISE, ALL ORDERS WILL BE SHIPPED COD-CERTIFIED FUNDS OR CREDIT CARD.
PLEASE KEEP THIS PAGE FOR FUTURE REFERENCE.