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FRED Distribution: Retailer Application Form

Thank you for your interest in the FRED program! Please complete this application form and a FRED representative will contact you.

1. Create an Account
Please specify your name, account email address, and password information. You will use your email address and the specified password to log into our system, so be sure to remember the values you enter here.
First name
Middle initial
Last name
Email Address
Repeat Email to confirm
(Note: Password is case-
sensitive, i.e. Password is not the same as passWord)
Repeat Password to confirm
Fields marked with * are required.
NOTE: If you have more than one store location, please enter information for only one below (your primary location, if applicable). After your application is reviewed, a FRED representative will work with you to input other stores into our system.
2. Store Information
Store Name:
Taxpayer ID/EIN #:
Type of Store:

Store Hours:
Store Size:
(square feet)
Additional Store Information/Comments:
Do you sell games on a website as well? If so what is the URL of your website?
Fields marked with * are required.
3. Store Phone Number
Please enter the phone number for your store.

Contact Number *
(In US, xxx-xxxx)
  ( )    ext. 
Fields marked with * are required.

Include this phone number in our public store locator?
4. Store/Business Address
Please enter the address for your store.

To / ATTN:
Address Line 1
Address Line 2
(Required for US or Canada)
Zip/Postal Code
Fields marked with * are required.

Include this address in our public store locator?
5. Additional Information
Which demographics do you target with your game selection? (Check all that apply)

Approximately how many game titles do you currently carry?
What percentage of your store sales come from board and non-collectible card games?
Do you currently carry any games from the following publishers? (Check all that apply)

What are your top-selling games?

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