RoundTable Authorized Dealer Application

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 referred you:
Name of the person, coin show or referral code number
Tell Us About You
Full Name

First NameLast Name
Your E-mail

Confirmation Emailexample@example.com
Your Mobile Phone

Country CodeArea CodePhone Number
What is your mailing address?

Street Address

Street Address Line 2

CityState/Province

Zip Code/Postal
Have you ever been convicted of a felony or been a party to any civil litigation, regulatory action, or legal proceeding relating to numismatics, precious metals, fraud, theft, financial misconduct, or other business-related misconduct?
If yes, please explain, including the final outcome or current status.

Tell Us About Your Business
Are you Full Time or Part Time?

Other
What is your annual gross revenue (not profit) in Numismatics?
Enter your Yearly Sales in Numismatics
What is your annual gross revenue (not profit) in Bullion?
Enter your Yearly Sales in Bullion
What is your annual gross revenue (not profit) 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?

Please list 4 Professional Dealer References (does not have to be a RoundTable dealer):

Please List 4 Dealer References; Name, Company and Phone Number
Reference 1 - Name

First NameLast Name
Reference 1 - Company
Reference 1 - Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 - Name

First NameLast Name
Reference 2 - Company
Reference 2 - Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 - Name

First NameLast Name
Reference 3 - Company
Reference 3 - Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 4 - Name

First NameLast Name
Reference 4 - Company
Reference 4 - Phone number
Please enter a valid phone number.Format: (000) 000-0000.
How many employees would you like to trade on your behalf?
Which of these membership options do you think best fits your business?
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that the omission or misrepresentation of material information may result in the denial or revocation of RoundTable membership.
Should be Empty:

Tell Us About You