RoundTable Authorized Dealer Application
Thank you for your interest in becoming a RoundTable Authorized Dealer. Membership eligibility is determined on an individual basis. Members must meet and maintain a high standard of ethical and financial integrity. Strong professional references from within the dealer community is a strict requirement. Visit www.RoundTableTrading.com for more information.
Tell Us About You
Full Name
*
First Name
Last Name
Your E-mail
*
Confirmation Email
example@example.com
Your Business Email (If different)
Confirmation Email
example@example.com
Your Mobile Phone
-
Country Code
-
Area Code
Phone Number
Your Office Phone (if different)
-
Country Code
-
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
Are you Full Time or Part Time?
*
Full Time
Part Time
Other
Do You Sell on eBay? If yes, what is your store name?
Give us a brief bio / or list product specialties
Please list any trade associations or networks you belong to:
Did someone refer you to RoundTable? If so, who may we thank?
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About Your Company
Company Name
*
What is the name of your company?
Your Position
*
Company Owner or Principal
Federal EIN or Business License ID#
*
How long has your company been in business?
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
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Estimated Annual Revenue in Coins:
*
Estimated Revenue in Bullion
*
Estimated Annual Revenue in Currency:
*
Please list 4 professional numismatic dealer references (does not have to be a RoundTable dealer):
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Dealer Name
Business Name
Phone Number
1
2
3
4
How many employees would you like to authorize to trade on your behalf?
We offer two membership options. Which do you think best fits your business?
Gold Level, $900 per year. Allows +1 employee access to trading platforms.
Platinum Level, $1650 per year. Allows +5 employees and tagging feature.
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