Please complete ALL of the following information in order to expedite the opening of your account.
Anchor Distributors sells at trade discounts to retail stores and approved wholesalers. We do not sell at trade discounts to churches, study groups, agents, book tables, or non-trade organizations. The following qualifies as a trade account:
Application Instructions
Bill to Store Name * Address Line 1 * Address Line 2 City * State Zip Country United States Albania Algeria American Samoa Angola Anguilla Islands Antigua Argentina Armenia Aruba Ascension Australia Austria Azerbaijan Azores Bahamas Bahrain Bangladesh Barbados Barbuda Belarus Belgium Belize Belorus Benin Bermuda Bhutan Bolivia Bonaire Bosnia Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina (Upper Volta) Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Corsica Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Islamic State of Afghanistan Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosrae Kuwait Kyrgyz Republic Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Madeira Islands Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Federated States Moldavia Monaco Mongolian People's Rep Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Islands Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua-New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Ponape Portugal Pricipality of Andorra Puerto Rico Qatar Reunion Romania Rota Russia Rwanda Saba Saipan San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Soviet Union Spain Sri Lanka St. Barthelemy St. Christopher St. Croix St. Eustatius St. Helena St. John St. Kitts St. Lucia St. Maarten St. Martin St. Pierre and Miquelon St. Thomas St. Vincent & Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Tahiti Taiwan Tajikistan Tanzania Thailand Tinian Togo Tokelau Tonga Tortola Trinidad & Tobago Tristan da Cunha Truk Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine Union Island United Arab Emirates United Kingdom United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu (New Hebrides) Vatican City State Venezuela Vietnam, North & South Virgin Gorda Virgin Islands (British) Wake Island Wallis & Futuna Islands Western Sahara Western Samoa Yap Yemen Yugoslavia Zambia Zimbabwe (Rhodesia) Phone Number Fax Number E-mail Days and Hours open per Week
Ship to Store Name Address Line 1 Address Line 2 City State Zip Country United States Albania Algeria American Samoa Angola Anguilla Islands Antigua Argentina Armenia Aruba Ascension Australia Austria Azerbaijan Azores Bahamas Bahrain Bangladesh Barbados Barbuda Belarus Belgium Belize Belorus Benin Bermuda Bhutan Bolivia Bonaire Bosnia Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina (Upper Volta) Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Corsica Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Islamic State of Afghanistan Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosrae Kuwait Kyrgyz Republic Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Madeira Islands Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Federated States Moldavia Monaco Mongolian People's Rep Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Islands Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua-New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Ponape Portugal Pricipality of Andorra Puerto Rico Qatar Reunion Romania Rota Russia Rwanda Saba Saipan San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Soviet Union Spain Sri Lanka St. Barthelemy St. Christopher St. Croix St. Eustatius St. Helena St. John St. Kitts St. Lucia St. Maarten St. Martin St. Pierre and Miquelon St. Thomas St. Vincent & Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Tahiti Taiwan Tajikistan Tanzania Thailand Tinian Togo Tokelau Tonga Tortola Trinidad & Tobago Tristan da Cunha Truk Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine Union Island United Arab Emirates United Kingdom United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu (New Hebrides) Vatican City State Venezuela Vietnam, North & South Virgin Gorda Virgin Islands (British) Wake Island Wallis & Futuna Islands Western Sahara Western Samoa Yap Yemen Yugoslavia Zambia Zimbabwe (Rhodesia) Phone Number Fax Number Date Store Established (mm-dd-yyyy) * Membership CBA ABA Membership Number Date Membership Established
Does business have a prominent sign outside? Yes No (A picture may be needed in some cases)
Sales Tax ID number (Please fax a copy.):
Has the firm or any of its principals ever been bankrupt? Yes No If yes, please explain
For Established Businesses:
For New Businesses:
Amount of Cash available to be devoted to your business $ Projected Sales $
Proprietor, Partners, or Corporate Officers (Please provide your home address):