RoundTable Authorized Dealer Application
Thank you for your interest in becoming a RoundTable Authorized Dealer. Membership eligibility is determined on an individual basis. Strong professional references from within the dealer community is a strict requirement. Members must meet and maintain a high standard of ethical and financial integrity. Visit www.RoundTableTrading.com for more information.
Referral Code or person who reffered you:
Name of the person, coin show or referral code number
Tell Us About You
Full Name
*
First Name
Last Name
Your E-mail
*
Confirmation Email
example@example.com
Your Mobile Phone
-
Country Code
-
Area Code
Phone Number
What is your mailing address?
*
Street Address
Street Address Line 2
City
State/Province
Zip Code/Postal
Have you been convicted of a felony?
*
Yes
No
If yes, please explain
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Tell us about your Business.
Are you Full Time or Part Time?
*
Full Time
Part Time
Other
What is your annual revenue in Numismatics?
*
Enter your Yearly Sales in Numismatics
What is your annual revenue in Bullion?
*
Enter your Yearly Sales in Bullion
What is your annual revenue in Currency?
*
Enter your Yearly Sales in Currency
What trade associations or networks, clubs or groups do you belong to:
Do you sell on eBay? If yes, what is your store name?
Do you trade in Facebook groups? If yes, what is your Facebook Name
Do you focus on a specific area of numismatics or bullion?
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Tell Us About Your Company
Company Name
*
What is the name of your company?
Your Position
*
Name of the Company Owner or Principal
Federal EIN or Business License ID#
*
How long has your company been in business?
How many employees do you have?
Company Phone
*
Company Email
example@example.com
Company Website
What are your business hours?
If you have a store, what is the address?
Street Address
Street Address Line 2
City
State
Zip Code
Estimated Revenue in Bullion
*
Estimated Annual Revenue in Currency:
*
Please list 4 Professional Dealer References (does not have to be a RoundTable dealer):
Dealer Name
Business Name
Phone Number
1
2
3
4
Please list 4 Dealer references; Name, Company and Phone Number
Reference 1 -Name
*
First Name
Last Name
Reference 1 -Company
Reference 1 -Phone number
*
Please enter a valid phone number.
Reference 2 -Name
*
First Name
Last Name
Reference 2 -Company
Reference 2 -Phone number
*
Please enter a valid phone number.
Reference 3 -Name
*
First Name
Last Name
Reference 3 -Company
Reference 3 -Phone number
*
Please enter a valid phone number.
Reference 4 -Name
First Name
Last Name
Reference 4 -Company
Reference 4 -Phone number
Please enter a valid phone number.
How many employees would you like to trade on your behalf?
Which of these membership options do you think best fits your business?
Gold Level, $900 per year. Allows +1 employee access to all trading platforms.
Platinum Level, $1650 per year. Allows +5 employees and tagging feature.
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