Distributor Online Application

Please complete the following form if you are interested in becoming
a FashionPaint USA Distributor. We will follow up with you shortly once
you submit the online application below.

Your Name:  
Company:
Address:
City:  
State/Province:
Zip/Postal:
Country:  
Email Address:     
Phone Number:
Years in Business:
Annual Sales:
Locations:
Employees:
Interests:  FlashChrome  Flash Magic
 Flash Candy  Crystal Flake
 Xirallic Effect  Foil Effect
 Marble Effect  Chameleon
Brands of paints you currently sell or use:
 

 



Enter the code shown above:

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Note: If you cannot read the numbers in the above image, click the
Submit button to generate a new number or call us at (702) 387-7200.