Sign Up for Animal Supply Connect Step 1 of 5 20% Email Address* First Name*Last Name*Company Name*Your Website URL*Are you a current ASC retail partner?*YesNoI have appliedPlease enter your ASC customer number*Before signing up for Connect, you'll need to become an ASC retail partner. Please complete your application and then sign up for Connect.What eCommerce platform are you using?*Please select oneShopifyBig CommerceeTailPetOtherI do not have an online storeEnter your MyShopify URL*This is not the link to your Shopify website - but the internal link. It would look like this: https://storename.myshopify.com. Legal Business Name*Business Entity Type*Sole ProprietorshipLPLLCS-corporationC-corporationAre you using a Trade Name / DBA?*No, use Legal Business NameUse the above name on Packing Slips (inside box)?*YesNo, use the ASC Warehouse nameUse the above name on Ship From labels (outside of box)?*YesNo, use the ASC Warehouse namePhysical Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Use this address on Packing Slips?*YesNo, use the ASC Warehouse addressInclude manufacturers' item numbers on Packing Slips?*YesNoWould you like to receive an email copy of your customers' Packing Slips?*YesNoPacking Slip LogoAccepted file types: jpg, png, jpeg, gif, pdf.Please provide a logo image that is black with a white background for optimal printing.Custom text at the bottom of your Packing Slips (OPTIONAL)Sales Tax Exemption Certificate?*Yes (must include copy)No*We are required to collect state sales tax unless we are provided with a current exemption certificate.What state is your store in?*Choose StateMultiple StatesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDownload Multiple States Form HereDownload Alabama Form HereDownload Arizona Form HereDownload Arkansas Form HereDownload California Form HereDownload Colorado Form HereDownload Connecticut Form HereDownload Deleware Form HereDownload Florida Form HereDownload Georgia Form HereDownload Hawaii Form HereDownload Idaho Form HereDownload Illinois Form HereDownload Indiana Form HereDownload Iowa Form HereDownload Kansas Form HereDownload Kentucky Form HereDownload Louisiana Form HereDownload Maine Form HereDownload Maryland Form HereDownload Massachusetts Form HereDownload Michigan Form HereDownload Minnesota Form HereDownload Mississippi Form HereDownload Missouri Form HereDownload Nebraska Form HereDownload Nevada Form HereDownload New Jersey Form HereDownload New Mexico Form HereDownload New York Form HereDownload North Carolina Form HereDownload North Dakota Form HereDownload Ohio Form HereDownload Oklahoma Form HereDownload Pennsylvania Form HereDownload Rhode Island Form HereDownload South Carolina Form HereDownload South Dakota Form HereDownload Tennessee Form HereDownload Texas Form HereDownload Utah Form HereDownload Vermont Form HereDownload Virginia Form HereDownload Washington Form HereDownload Virginia Form HereDownload Wyoming Form HereDownload District of Columbia Form HereA Sales Tax Exemption Certificate will be required to successfully set up your account. Please upload one now to avoid delay.*Accepted file types: pdf, jpg, png, gif, jpeg.In order for the Tax Exemption Resale Certificate to be valid, the following items MUST be filled in (where applicable per your state’s form): • Name and address of purchaser • Name and address of seller (This should be: Animal Supply Company, 600 E Las Colinas Blvd Suite 700, Irving TX 75039) • Registration number of purchaser • Description of property purchased for resale • Reason for exemption • Statement that if the property is put to use in a taxable manner that the purchaser will remit the consumer’s use tax • Date and Signature and Title of authorized individual at the purchaser If the form is not uploaded or invalid, your store may be subject to sales tax. Contact Information Please provide us with contact information for the following business functions at your company.Primary Contact Name*Primary Contact Phone*Primary Contact Email* Customer Service Contact Same as Primary Contact Customer Service Contact Name*Customer Service Contact Phone*Customer Service Contact Email* Accounts Payable Contact Same as Primary Contact Accounts Payable Contact Name*Accounts Payable Contact Phone*Accounts Payable Contact Email* MEMORANDUM OF UNDERSTANDING This memorandum of understanding (“MOU”) sets forth our preliminary understanding regarding the proposed services to be provided by Animal Supply Company LLC (“ASC”) to Company Name*and any affiliated legal entities (“Company”) under an agreement to be finalized (“Service Agreement”). The terms of this MOU, all shared related material and our on-going discussions regarding the Service Agreement will remain confidential as provided in section 9 of this letter. The following is a summary of the present intentions of the parties with respect to the material terms of the Service Agreement: eCommerce Platform. Company has developed a platform with the normal functionality of an online web store to display product pictures, descriptions, and reviews; take delivery information and payment through a shopping cart (“eCommerce Platform”). Company will electronically send orders to ASC with Company selected customer order information for products available from ASC. The information will include specific products purchased by the customer of the Company, quantities, and delivery destination details. Services Provided by ASC. ASC will manage warehouses in strategic locations across the United States and hold inventory of mutually selected pet products offered by Company to consumers. When customers of Company order products through the eCommerce Platform and Company provides the electronic order with the information, then ASC will deliver said products at ASC’s expense to the delivery destination indicated on the order. The shipping box and mailing label will be generic. Territory. The service territory for delivery of products includes the entire United States, except for areas not serviced at any given time by FedEx Corporation or United Parcel Service of America. Products Offered. ASC reserves the right to amend the list of products available to the Company at any time. Product and Service Pricing. For orders fulfilled by ASC, the Company will purchase said products from ASC at the then current price list agreed between ASC and Company, plus fulfillment fees and shipping costs. ASC may change the price list at any time following at least 10 days prior notice to the Company. The shipping costs shall be equal to the then current FedEx Corporation or United Parcel Service of America (whichever applicable) standard public shipping cost for a delivery from the ASC warehouse holding the product to the delivery destination, less a discount of 15%. Term. The term for services provided will be three years from the effective date of the Service Agreement renewing thereafter on an annual basis. The contract may be terminated by either party should there be gross negligence in performing the duties of the contract. Either party will have the ability to stop the annual term renewals with proper notice. Basic Terms. ASC will be the preferred service provider for Company sales through the eCommerce Platform for products available from ASC during the term of the contract. Product purchases and shipping costs owed to ASC will be paid by Company within 7 days of invoice. Both ASC and Company will carry adequate insurance and comply with laws, ordinances and regulations. ASC Responsibilities. ASC will contract with FedEx Corporation and/or other parcel shipping companies for the delivery of products. ASC will ship 90% or more of Company orders by the next business day following receipt of the order information by ASC. For products delivered to consumers under this agreement, ASC will be responsible, at its sole cost, for shipping replacement products to consumers for any products damaged during shipping or for incorrect products shipped (picking errors). Company Responsibilities. Company will set pricing to be paid by customers of Company and handle sales transaction with each customer at its sole cost; including processing of payments from Customer to Company, invoice issues, product returns and credits. Confidential Information. ASC and Company mutually agree to keep the other party’s confidential information in strictest confidence and shall not disclose any of the other party’s confidential information to third parties, except as expressly authorized while performing its duties hereunder. Sales and Customer Data. Company customer data will be owned by Company and ASC will not disclose or share the customer data with any other person or party without Company’s written permission. ASC is pleased with the results of our discussions to date and we are excited about closing the transaction contemplated by this letter. If the foregoing is acceptable, please so indicate by executing the enclosed copy of this MOU and returning it to the undersigned. If you have any questions, please do not hesitate to call me at (972) 616-9611.This document requires your signature. Do you wish to proceed?* Yes, I consent. By clicking “Yes”, you are consenting to do business electronically and to the use of electronic signature as the legal equivalent of a handwritten signature. Please sign using your legal first and last names.Name* First Last Title*Date* Date Format: MM slash DD slash YYYY Signature* AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) ACH (Automated Clearing House) 1. An ACH draft is processed similar to the way paper checks are processed, except the transaction is completely electronic and no paper check is required. 2. All bank fees for ACH transactions initiated by Animal Supply Co. are paid by Animal Supply Co. and there is no cost to you, our customer. 3. Animal Supply Co. will only include items that have been invoiced in the ACH draft. 4. A notice of draft is faxed or emailed to you the day prior to the ACH transaction. The notice includes the amount, the date of processing and a list of invoices/credit memos included in the ACH transaction.Name (As it appears on bank account)*Company Name (include DBA, if any)*We hereby authorize Animal Supply Company, LLC hereinafter called Animal Supply Company, to initiate debit entries to our*CheckingSavingsindicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account. We acknowledge that the origination of ACH transactions to our account must comply with the provisions of U.S. law.Depository Name*Branch Name (if applicable)Transit/ABA# (Routing Number)*Account Number*This authority is to remain in full force and effect until I (we) notify Animal Supply Company in writing using this notification by mail to A/R Manager C/O Animal Supply Company 600 E Las Colinas Suite 700, Irving TX 75039. I (we) understand that Animal Supply Company requires seven business (7) days prior to the proposed effective date of the requested change in order to process the new authorization form.Check One*I am a current customer participating in the Automated Payment Program. ADD the account shown.I am a current customer participating in the Automated Payment Program. CHANGE the financial institutions and account number.This document requires your signature. Do you wish to proceed?* Yes, I consent. By clicking “Yes”, you are consenting to do business electronically and to the use of electronic signature as the legal equivalent of a handwritten signature. Please sign using your legal first and last names.Name* First Last Title (Must be Corporate Officer or Owner)*Date* Date Format: MM slash DD slash YYYY Signature*Please upload a sample VOIDED CHECK that includes the business name or owner's name.*Accepted file types: jpg, png, pdf, gif.Voided check, deposit slip, or a letter from the financial institute required.