Contact Form You can download the application to print here. You can mail it to us at 3145 Tate Blvd SE, Hickory, NC 28602. Or, you can proceed to apply online below. Contact Form Company Name*Your Name* First Last Your Title*Are you an Affiliate?* Yes No Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Business Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code If your business address is the same as your mailing address, you may leave this section blank.Phone*Fax NumberEmail* Website Business Description*Your Message*By selecting "Yes" you agree to follow our by-laws and code of ethics.* Yes, I agree. This iframe contains the logic required to handle AJAX powered Gravity Forms.