_____________________________________________________________.(Your Company Name)

I have read and agree to Book Bouquet's Drop Ship Terms including information about how and where I can sell Book Bouquet's products, use it's images, the monthly administrative fee and the discount schedule.

______________________________________________________________ (Sign Your Name)

Book Bouquet will fulfill and ship your orders using your company information:

Company Name:_____________________________________________________

Ph. #:_____________________________

Website:__________________________________________Email:____________________________

Billing Address:_____________________________________________________________________________

Payment Information for Monthly Administrative Fee:
Waived for first three months.

Please provide the email that paypal invoices should be sent to: ______________________________________

If paying by credit card please provide your credit card number:

______________________________________ and expiration date: ___________________________________
Visa, MC, Amex only

Payments for products must be made at time of order via credit card or paypal. Weekly invoice terms can be set up for larger volume drop shippers with approval from Book Bouquet, Ltd., and with a current credit card on file.

I agree to abide by the terms of Book Bouquet Ltd. dropship agreement:

____________________________________________________________________SIGNED NAME / DATE

_____________________________________________________________________PRINTED NAME /TITLE

Complete Form and include a copy of your Resale Certificate and Fax to: 1-816-817-5192.