VIVIX 659 Brand : : Retailer Application


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Vivix 659 :: Retailer Application

We invite retailers to apply to become a Vivix 659 authorized dealer. Fill in the appropriate information in the form provided below. Once received we will have your areas sales representative contact you with the particulars.

Thank you for your interest in Vivix 659.

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Retailer Application


Items in Bold are required fields.

Company Name
Years in Business
Reseller Lic. No.
First Name
Last Name
Address
Bldg,Box,Room
Postal Code
City
State/Province
Country
Phone
Email
Credit Reference Company Name Address Phone Number
Message or Additional Information

Vivix 659, Inc.
PO Box 2421
Oceanside, CA 92051

For immediate help, you may contact us by calling
8:00 am - 6:00 pm Monday thru Friday
(760) 212-5974
Toll FREE (800) 329-2669
FAX Orders To (760) 400-6400