Reseller Application How did you hear about us? Advertisement Facebook Instagram Employee Referral Trade Show Redit Web Search Other If other, please specify Please complete the application and upload a current state business license and federal tax ID number (or proof of ownership). Store Front Internet Store Company Name Website Email Address (required) Contact Person's Name Contact Person's Titlebr Federal Tax ID Phone Number Address City Zip Code Country Type of Delivery Store Front Warehouse Residence Comments I as a business owner as well as individually personally referred to as "Purchaser", guarantee payment of all purchases made by "Purchaser" or any indebtedness incurred by "Purchaser." I agree Orders are to be paid in full credit by credit card ONLY. "Purchaser" must provide Credit Card information including expiration date and 3-digit security code on all orders." I agree "Purchaser" also agrees to the shipping, return and payment policies as they are explained under the whole policy located at our customer service page. I agree Please upload a copy of your business license
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