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At Ez-Toyz Inc., We Care about our Distributors.
We want to become your CHOICE Supplier of DVR Surveillance Equip.

Please fill in the following Application form.
We will enter you into the system and send out
Requested information, Catalogs, Quantity Price Sheets, and Spec. Sheets

Distributor Application Form:

	Federal EIN #:

	Business Name:
	Business Type:Installer Distributor Retailer
	Monthly Volume Expected: 1-10 Complete Systems 10-20 Complete Systems 20-30 Complete Systems 30-50 Complete Systems 50+ Complete Systems
	Contact Information:
	First Name:
	Last Name:
	Address:
	City:
	State:
	Zip Code:
	Phone:
	Email Address:
	Re-Type Email Address:

	Your Coverage/Installation Area: (Include State and Cities)


	Any Additional Comments:

Please note: Above information is for legal records, therefore submitting falsified information can be considered perjury. By clicking the submit button, you testify that all of the above information is correct, and that you are the contact person who is listed above.

Due to the high volume of requests everyday, please allow 24-48 business hours for response. Quantity Discounts begin at a minimum order of 5 for packages and 10 for cameras unless otherwise specified by an Ez-Toyz Sales Representative.

Ez-Toyz Sales Department
751 Frontenac Rd #157
Naperville, IL. 60563