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Thank you for your interest in our line!

If you would like information on becoming a dealer,please fill out the form below. If you already know you want to become a dealer,you may complete the dealer application online or download our dealer application here and e-mail or fax it back to us at (866)748-1255.

If you are interested in purchasing bulk or packaged stock for your store,you may download a blank stock order form and e-mail or fax it back to us. Please include your resale certificate with your dealer application.

All applications will be reviewed upon receipt and dealers will be notified via email regarding approval.

Prospective Wholesale dealers should complete this application.
Company:
Contact Name:
Tax ID / Resale:
Phone:
Fax:
E-mail:
Website:
Tell us about you:
Type of Store:
Years in Business:
Estimated Annual Sales:
_____________________________________________________________________________
Billing Address:
Street 1:
Street 2:
City:
State:
Zip:
_____________________________________________________________________________
Shipping Address:
Same as Billing: Yes No
Street 1:
Street 2:
City:
State:
Zip:
_____________________________________________________________________________
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Please enter the letters and/or numbers (not case sensitive) from the image above in the field below and then submit your application.