RegistrationWholesale Account Agreement Business Name/DBA:* Tax ID #:* First Name:* Last Name:* Owner Name:* Email:* Address:* City:* State:* Zip:* Phone:* Fax: Do you want approval to sell Blackboard through the internet? YesNoWould you like to be listed in the Blackboard locator service on our website? YesNo Website URL: Years in business:* Business Type: Shipping Address (If different from above) Street: City: State: Zip: Do you sell other orthotic products? YesNoDo you would like to get videos and publicity to actively promote the BlackBoard. YesNoI noted that the recommended Minimum Advertised Price of the BlackBoard is 89,- Euro* I agree that the minimum commercial order is 10 pices.* I have read and agreed to the Terms and Conditions.* I agree with the privacy policy.*Spam protection: What is seven minus three? (Please enter number)