RESELLER APPLICATION

Come partner with us! We welcome customer oriented companies to participate in selling our unique products. We offer a generous discount schedule, excellent support, and unique products for your customers. Our discount schedule for Resellers is as follows:

Min Qty	Max Qty	% Discount
1	4	0
5	25	40
26	75	42
76	100	45
101	500	48
501	1000	50
1001	10,000	55

Discounts applied to total order

Please complete the following application, and upon review, we will contact you and hopefully begin a long term relationship.

Wholesaler, Retailer or Sales Rep *

Company *

Your Name *

First

Last

Title

Street Address *

City *

State *

ZipCode *

Email *

Confirm Email

Phone Number with Area Code *

How Do You Plan to Sell Our Products? *

Years in Business *

Do you have a current State Resale Certificate?

Company Website

Comment or Message

Shipping will typically be USPS and Flat Rate depending on number of units ordered. If faster delivery is required, please contact us. Orders will typically be processed within three days of receipt. Backorders will be shipped as they are available. We DO NOT retain credit card histories so this information must be reentered for each order. If you prefer to call your order in, please call us at 352-446-4044. Upon approval your EIN and/or Certificate of Resale will be requested.

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