DCLS DMLS Application Form

The Antique and Art Information Network, Inc.

	DCLS DMLS Application and Order Form

*** PLEASE NOTE FIELDS IN BLUE ARE REQUIRED TO BE FILLED IN OR YOUR APPLICATION CANNOT BE COMPLETED ***
(This form is to Maintain Quality and to Protect those who use the DCLS and DMLS Services)

Name:
Company Name:
Address:
City:
State:
ZipCode:
Day Phone:
Evening Phone:
Cell Phone:
Fax:
Email:
Web Site:
Resale # and State:
Resale # Exp Date:
Years in Business :
Which AAIN Software are You Currently Using :

PROFESSIONAL REFERENCES (REQUIRED - 3 DEALERS YOU DO BUSINESS WITH)

1. Name:		1. Phone#:
2. Name:		2. Phone#:
3. Name:		3. Phone#:

BUSINESS REFERENCES (REQUIRED - 2 BUSINESS YOU DO BUSINESS WITH OTHER THAN DEALERS)

1. Name:		1. Phone#:
2. Name:		2. Phone#:

CHECK THE SERVICE YOU THAT YOU WANT:

DCLS (Dealer Cataloging Listing Service)
DMLS (Dealer Multiple Listing Service)
DCLS & DMLS ComboService
Number of Months you would like the service

PRICE LIST
	Monthly Fee
DCLS (Dealer Cataloging Listing Service)	$ 15.00
DMLS (Dealer Multiple Listing Service)	$ 20.00
DCLS & DMLS ComboService	$ 30.00

TERMS:
3 months minimum paid in advance plus a $ 50.00 set-up fee
Set-up fee is waived if 1 Yr is paid in Advance
5% discount if paid 1 year in advance

NOTE: References will be checked before your Account is set-up. This normally takes 2 -3 business days. Once approved you will be contacted and given your Logon and Password to use for the service(s) you seleceted as well as for your payment information. Please notify your references the we (A.A.I.N. - Antique and Art Information Network, Inc.) will be calling to expedite processing your application for service(s).

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the antique and art information network, inc.

TOLL FREE IN THE U.S. 1-866-400-AAIN (2246)

OUTSIDE THE U.S. DIAL 1-570-223-8048

(Email) aain@aain.com

340 Big Ridge
East Stroudsburg, PA 18302

*** THE # 1 RECOMMENDED SOFTWARE PRODUCTS by DEALERS, COLLECTORS, PROMOTERS, ANTIQUE TRADE & COLLECTING PUBLICATIONS, GALLERIES, ACCOUNTANTS, LAW ENFORCEMENT OFFICERS, INSURANCE BROKERS and THE ANTIQUE TELEVISION WORKSHOP ***

*Packages are for display purposes-software is shipped without box shown above.