Zip/Postal Code :
Evening Phone :
Where did you hear about us?
Confirm Password :
DESIRED PRICING LEVEL
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.
SALES CHANNELS Please note that we do not allow retailers to sell through Amazon, Ebay, or any other third party sales channel. For any questions about this policy, please feel free to contact us. ANY BUSINESS OPERATIONS IN CALIFORNIA If you do any business in the state of California (have any retail locations, sales reps, etc.), we will need you to email us with your CA reseller permit number. EMAIL: firstname.lastname@example.org PHONE: 415-830-5624
I have read, understand, and agree to the above agreement. :