The POOP HOOP is controlled by Fusion of Ideas, LLC and at this time we look forward to increasing our product distribution throughout the United States. We do require the contact information below in order to avoid a distribution territory "overlap". All information provided by you will be held in strict confidence and not used for any other purpose other than qualifying you or your company for selling the POOP HOOP.


FIRST NAME
LAST NAME
COMPANY

ADDRESS
CITY
STATE
ADDRESS
ZIPCODE
SALES TAX NUMBER
TYPE of COMPANY
PREFERRED
SHIPPING
METHOD
PHONE
FAX
EMAIL ADDRESS
Thank You for your interest
in the POOP HOOP
We will be contacting you within three (3) business days to discuss your dealership.