AEG's Outpost Program Sign-Up
Please retain a copy of the auto-response email until you have received your product. It is your proof of order.
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Email *
How many cases of each product do you want to be guaranteed? *
Contact Info
Please include any information that your distributor will need to identify you.
Store Name *
Contact Name *
Store Street Address *
Store City *
Store State/Territory *
Store Country *
Store Postal Code *
Phone Number *
Store Website *
Contact E-mail *
May we reach out to you with additional information about AEG and our products using this email address? *
May we include your store information in marketing materials promoting the release of these titles (i.e. store locator or list of stores)? *
Preferred Contact Method *
Required
Preferred Distributor - If your distributor is not listed, please reach out to Outpost@Alderac.com and we will confirm and add your distributors participation or help to find an alternative. *
What is your account number at your preferred distributor?
Would you like to become an Alpha Store? *
If Yes, please see the Alpha Store terms here: https://www.alderac.com/alpha-store/ Do you agree to these terms? DO NOT FILL OUT THE FORM. We will handle all of that for you. *
Email address used for Alderac Online Store Registration? If no above, type NA. *
Business License Number? If no above, type NA. *
A copy of your responses will be emailed to the address you provided.
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