Reference Information
How did you hear about Video Game Wholesale?
Social Media
Internet Search
Customer Service
Email Blast
Trade Show
Word of Mouth
Current Video Game Wholesale Customer
Other
Which Video Game Wholesale associate contacted you?
Bobby Baqai Rick Baqai Richard Lam
Company Information
Company Name*
Contact Name*
Position
Owner/Partner
Manager
Buyer
Other
Address
City
State
Postal Code
Country
Belize
Costa Rica
El Salvador
Guatemala
Honduras
Mexico
Nicaragua
Panama
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
French Guiana
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Antigua & Barbuda
Aruba
Bahamas
Barbados
Cayman Islands
Cuba
Dominica
Dominican Republic
Grenada
Guadeloupe
Haiti
Jamaica
Martinique
Puerto Rico
Saint Barthélemy
St. Kitts & Nevis
St. Lucia
St. Vincent and the Grenadines
Trinidad & Tobago
Turks & Caicos Islands
Virgin Islands
United States
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Armenia
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Benin
Bermuda
Bhutan
Bosnia and Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
China
Christmas Island
Cocos (Keeling) Islands
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Cote D'ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Egypt
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guam
Guernsey
Guinea
Guinea-bissau
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Papua New Guinea
Philippines
Pitcairn
Poland
Portugal
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Pierre and Miquelon
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uzbekistan
Vanuatu
Viet Nam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone Number*
Email Address*
Re-enter Email Address*
Additional Email addresses to receive Video Game Wholesale updates
Company Profile
Resale Number (USA only)
Number of years in business
less then one year
1 to 3 years
4 to 6 years
7 to 10 years
11+ years
Monthly video game units purchased
less then 100
101 to 200
201 to 500
501 to 1000
1001+ units per month
Product Lines Carried(select all that apply)
Website
Preferred Payment Option
Payment Type
Wire Transfer
Credit Card
Company Check
ACH
Other
Account Payables Name
Email Address
Phone Number
Preferred Shipping Method
Delivery Method
Customer Pickup
Freight Forwarder Pickup
Freight Forwarder, Local Delivery
DHL International Shipment prepaid
FedEx International Shipment prepaid
UPS Ground
FedEx Ground
FedEx Express Saver
FedEx Overnight
FedEx 2 Day
Freight Forwarder Name
Address
City
State
Postal Code
Phone Number
Email Address
Login Credentials
Username*
Password*
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