Form 2 – Approve Submission

Please fill in the “Wanda Sales” section, and click Submit.

Wanda Sales
Status
- Approved
- Disapproved
Confirmation #
Sales Email Address*
Reason for Disapproval
Distributor Information
Distributor Business Name*
Distributor Contact Full Name*
First Last
Distributor Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Distributor Phone Number*
Distributor Email Address*
Is this a NEW or EXISTING distributor account?
- New
- Exisiting
Warehouse Distributor Information
WD Business Name*
WD Representative Name*
First Last
WD Representative Phone Number*
WD Representative Email*
WAN MM Kit*
- WAN-100
- WAN-200
- WAN-300
PO of Confirmation #
Invoice Link
If unable to upload invoice, please check box below & fax to 248-649-5256
- A copy of invoice has been faxed
Comments

Approve Submission