Dealer Details Registration / Update

Your Contact Information

Email:

First Name:

Last Name:

Store Details (For Publishing on www.tacktick.com)

Dealer Name:

Address Line 1:

Address Line 2:

City/Town:

County (if UK):

County (if not UK):

Region/State (if UK):

Region/State (if not UK):

Postcode/Zip:

Tel No:

Email:

Website:

Other Details

Store Name:

Tel No:

Fax No:

Website:

Store Address:

Marketing e-mail contact:

Purchasing contact and e-mail:

Owner contact and e-mail:

Opening times:

Number of Permanent Staff:

Own Store or Part of a Group?:

Online Sales also Available?: Yes

Store Type:

Type of Customers Visiting Store:

Electronic Brands Stocked:

Other (Please State):

Would you Like to Receive a Tacktick E-newsletter?: Yes

Are you updating existing details or is this a new dealer request?