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Please fill out the form below and a FLASH Sales Rep

will contact you and send you a New Account Form:



Store Name

Number of Locations

Type of Business





Phone #



Contact Persons Title

E-mail Address 

Primary Internet Connection

The following questions are to help us understand your business and

customize services to meet your needs.  Thanks for your cooperation.

DVD is what percentage of business?

What % of your Business is Rental

  what % is sale

What is your average monthly purchases of DVD/VHS? 

Please provide us with any information about your business that will help us in assign the appropriate Account Exec. to service your account