First Name *

Last Name *

Company Name 

Street Address *

Address Line 2 

Country and State *

United States (US)

Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)

Town / City *

Postcode / ZIP *

Phone Number *

Business Type *RetailerWholesalerDistributorFlea Market VendorE- CommerceDropshipper

EIN / Sales Tax Number (If you operate as a Sole Proprietor please use your Social Security number.) *

Upload Resale Certificate (If you are in a state which requires a Resale Certificate or Certificate of Authority to collect sales tax. Images must be under 3mb.) 
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

Enter your SSN or FEIN, if you have a business or DBA 

OR 

I certify that my state does not require a resale or certificate of authority.

Upload Wholesale Agreement (File is provided, below. Please download PDF file, fill out the form, and upload it here.) *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

Upload Independent Contractor Agreement (File is provided, below. Please download PDF file, fill out the form, and upload it here.) *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

Upload W-9 Form (File is provided, below. Please download PDF file, fill out the form, and upload it here.) *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx