Contact Information Company Name Contact Person Email Address * Phone * Street Address City State Postcode / ZIP Contact Information Interested in Drop-shipping or Wholesale? *WholesaleDrop-shippingBoth Business License Number Business Resale Number* Business Type Store Front (Brick & Mortar) Online w/ Shopping Cart Store URL Comments Confidentiality Agreement By checking the box below you agree to treat all materials HugaMonkey, LLC provides to you as confidential and proprietary You further agree to not reproduce, reverse engineer or otherwise alter the HugaMonkey mark or manufacturing process. Do You Agree? Yes