Dealer Application

Avalon Advanced Products, Inc. would like to thank you for your interest in becoming a part of
Avalon's team. To qualify as a Avalon dealer you must own a paintball store, paintball field, or a
sporting goods store. Please, do not apply if you are an internet sales only store. If none of these
qualifications apply, we will be happy to provide you with a list of our distributors. The minimum
initial order is $300.00

Business Type: (please circle one)
Corporation Sole Proprietorship Partnership Franchise

Business Information:
Name of Company:__________________________________________ Date est:_____________
Registered Business Name:_________________________________________________________
Business Mailing Address:__________________________________________________________
City:__________________________________State:___________Zip Code:_________________
Business Phone: (      )_____________________Business Fax: (      )_________________________
Business Shipping Address:_________________________________________________________
City:__________________________________State:___________Zip Code:_________________
Website:_______________________________________________
Business Email:_________________________________________

Business Type:

Paintball Store Paintball Field Sporting Goods Store

Other:______________________

Business Owners Information:
Owner's Name:___________________________________________________________________
Home Address:___________________________________________________________________
City:_________________________________State:____________Zip Code:__________________
Home Phone: (      )_____________________Cell Phone: (      )_____________________________
Email:______________________________________________

Business Partner Information (if applicable)
Owner's Name:___________________________________________________________________
Home Address:___________________________________________________________________
City:_________________________________State:____________Zip Code:__________________
Home Phone: (      )_____________________Cell Phone: (      )_____________________________
Email:______________________________________________