Please fill out information below that you wish us to place as dealer information on the www.cruiserimprinters.com  formally www.imprintableseatbeltpads.com site.


Remember this is how clients will find you.  If you have questions insert in notes section and I will answer.If there is any part of this form you don't want published such as yout name and street address then tell us in the notes section. Most place there Business name and city/ state/zip email and web site.

Contact lou@ljrobin.com if you have any questions.


Dealers name 

 Business Name:


Address:

City:  

State:   ZIP:   Country:

Phone:

 Fax:  

E-mail:

 WEBSITE  


NOTES