Authorized Dealer Application
Thank you for your interest in becoming a RoundTable Authorized Dealer. Dealer eligibility is determined on an individual basis. Members must meet a standard of ethical and financial integrity. Strong personal references from within the numismatic community is a strict requirement. Visit www.RoundTableTrading.com for more information.
Tell Us About You
Full Name
*
First Name
Last Name
Personal E-mail
*
Confirmation Email
example@example.com
Your Business Email (If different)
Confirmation Email
example@example.com
Your Personal / Mobile Phone
*
Your Work Phone
What is your mailing address?
*
Street Address
Street Address Line 2
City
State
Zip Code
Are you Full Time or Part Time?
*
Full Time
Part Time
Other
What is your Facebook Name?
If you sell on Instagram, what is your Instagram name?
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?
What is your Company Mailing Address?
Street Address
Street Address Line 2
City
State
Zip Code
What email address should be used for billing?
*
Confirmation Email
example@example.com
What is your Company's Physical Address?(for public directory)
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 3-5 numismatic dealer trade references (does not have to be a RoundTable dealer):
*
Dealer Name
Business Name
Phone Number
1
2
3
4
5
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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