Complete the following information if you are interested in
becoming a dealer or distributor of Mag-Lite® Flashlights

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Name of Firm:
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Address:
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City:
*		 State:
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Zip/Postal Code:
*		 Country:
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Phone:
*		 Fax:
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Email:
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Website:
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Upload Your Company's PDF Brochure 
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Contact Name:
*		 Contact Position:
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Distribution Channels Served (Check all that apply)
Retail
Catalog
Wholesale/Retail
Wholesale Only		 Premium
Licensing
Web Retailer
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Market Segments Serviced (Check all that apply)
Automotive Only
Chain Store/Mass Merchant
Computer Stores/Chains
Department Store
Drug Store/Chains
Electronic Stores/Chains
Grocery Store/Chains
Hardware
DIY
Industrial		 Military
Membership Warehouse
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Public Safety
Sporting Goods
Tool
Mall Kiosk
Convenience Stores
Duty-Free Shops
Cutlery
 
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