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Dealer Registration
For your $59.50 per month Premier A Dealer Membership, we require the following information.
 
 ORGANIZATION INFORMATION
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Dealer Name

  (e.g., "The Miller Family Gallery")

Address

City

State

(Required for USA and Canada, Select "International" for others)

Zip

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Phone

  (555) 555-5555

Fax

  (111) 111-1111
 CONTACT INFORMATION

First Name

Last Name

Title

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 ORGANIZATION PROFILE
(Your description of your Specialty will be displayed in our AskART Directories for our Subscriber Members and/or Premier Dealers)

Area of Specialty
300 characters max
(e.g., "We specialize in American Maritime artists pre-1950")

Professional Affiliations

Year Founded

Other Features

(e.g., "Accepting Consignments")

 
 WEB PROFILE INFO

Your Web Site URL

  (e.g., www.AskART.com)

Your Logo

 (optional)

Your Company Gallery Photograph

 (optional)
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