WHOLESALE APPLICATION
*First Name:
*Last Name:
* Company:
*Address 1:
Address 2:
*City:
*State/Province/Region :
*Zip/Postal Code :
*Country:
*Daytime Phone:
Evening Phone :
Fax:
*Tax ID/SSN:
Website URL:
Where did you hear about us?
LOGIN INFORMATION
*Email:
*Password:
*Confirm Password :

DESIRED PRICING LEVEL
Dealer
 
Please describe your business, where our products will be sold, and any other pertinent information to your application.
 
CERTIFICATE OF RESALE
If you have an electronic certificate of resale, please upload it using the field above.
 
AGREEMENT
A PSI dealer agrees to promote and support PSI standalone wiring harnesses. PSI prides itself on customer support and depends on its dealer network to provide the same level of customer support when possible. A dealer agrees to sell PSI products at no less than MAP pricing.
* I have read, understand, and agree to the above agreement. :