Dealer Application for Hiden Galleries
47 John Street Stamford, CT 06902 (203) 363-0003 Fax (203) 363-0309
Please fill out and return to Hiden Galleries II accompanied by several photographs of your most recent merchandise. Photographs will not be returned. We will contact you as soon as your application and photographs have been reviewed.
Dealer Name: _________________________________ Date: ___________________
Resale Number: _______________________________ State Issued in: _________________
Home Address: Street: _____________________________________
City: ______________________________________
Zip: _______________________________________
Home Phone Number: _______________________________________
Cellular Phone Number: _______________________________________
Business Name: _______________________________
Business Address: Street: _____________________________________
City: ______________________________________
Zip: _______________________________________
Business Phone Number: ________________________________________
Are you interested in a showcase or booth? __________________________________________
How frequently do you intend to maintain the appearance of your space?
______________________________________________________________________________
Please list/describe the merchandise you wish to display. Please be specific.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Where are you currently selling your merchandise? Please list all locations.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Estimate what percentage of your sales are on : Dealers _____________________________
Decorators __________________________
Retail ______________________________
How did you hear about the gallery? ________________________________________________
What was your first impression of the gallery? ________________________________________