Devir Americas, LLC

8123 S Orange Ave. Unit 166

Orlando, FL 32809
Main: (206)-764-7499
TAX ID: 412117650

ACCOUNT APLICATION
In order to open an account with Devir, please complete the following form with the requested information:

1. Name of the store:

2. Name of the legal company (If different

from above)
3. Tax ID Number:
4. Name of the store's legal representative:
5. Number of the ID Card:

6. Store's physical address:

Please include Name, City, Zip Code (if
Applicable) and country.

7. Phone Number:

8. Other phone number if applicable :

9. Store mailing address:
Please include Name, City, Zip Code (if
Applicable) and country

10. E mail address of primary contact for

sending invoices and payment
confirmations:
11. Full name of the primary contact:

12. E-mail for the primary contact:

13. Full name of the secondary contact (if

applicable)
14. E-mail of the secondary contact:
15.- ¿Is your store registered as an official
store for the following brands? Konami (OTS) ,
Wizards of the Coast (WPN) or NECA/Wizkids
(WES)?
16.- If not, would you be interested in
registering your store? Which programs would
Devir Americas, LLC
8123 S Orange Ave. Unit 166
Orlando, FL 32809
Main: (206)-764-7499
TAX ID: 412117650

you like to register for?

In addition:

17.- We need a copy of the following documents:

 Articles of Incorporation or Articles of Organization (if applicable)

 Business License
 Company Tax Registration, or other document registering the company to pay taxes to their
local, state or federal governments (as applicable)
 Business Owner's ID (Can be an ID Card, Driver's Licence, Passport, or other identification
document recognized by your country's government)
 Proof of registration with the local chamber of commerce (if applicable).
 Any other documents or permits required by your government to legally operate a business.

18.-A google maps link with the location of your store.

19.-Recent pictures of your store's exterior. Specifically, we would like to see the entrance, your store's
sign, and the immediate surroundings of the store.
20.-Pictures of your store's interior, including displays, gaming areas, and any other features your store
may have.

Please send all information to aurora.gonzalez@devir.com

If you have any questions, please call Aurora Gonzalez at: 1 (206) 764 9499. Extensión: 801