2719 Tobey Drive Indianapolis, IN 46219 Forecast Sales Phone: 800.892.6223 Fax: 317.829.0148 firstname.lastname@example.org Manufacturer & Wholesaler www.forecastsalesinc.com Application For Distributor Login Please fill out form completely and return to Forecast Sales via e-mail or fax. You must be a current Forecast Sales Distributor to be eligible for a Login. E-mail Directions: Fill out this form by typing in the fields provided and save the completed form to your computer. After saving the form, send an e-mail to email@example.com with the subject “Web Login Application” and send the saved form as an attachment. Fax Directions: You may complete the form by either typing in your responses and printing the form, or by printing the form and filling in the blanks by hand. Once completed, fax the form to Forecast Sales at 317-829-0148. Company Name: Street Address: City, State Zip: Federal Identification Number (FID): or Goods And Services Tax # (GST) Name Of Person Requesting Login: Telephone #: Fax #: E-mail: Requested Username: Requested Password: A Forecast Sales representative will contact you after reviewing your request.
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