Reseller Application

Thank you for submitting your form!

We appreciate your interest and will review your information as soon as possible.

Our team is dedicated to providing excellent customer service, and we will do our best to respond promptly.

Company Information

Legal Company Name *

DBA (if applicable) *

Country *

Business Address *

City *

State *

Postal code *

Company Website URL *

Year Business Established *

Business Structure *

Sole Proprietorship Partnership LLC Corporation Other

Please describe *

Federal Tax ID (EIN) or VAT ID (if applicable) *

Primary Contact Information

Primary Contact Name *

Title *

Email Address *

Phone Number *

Secondary Contact (optional) *

Online Sales Channels and Product

Please indicate where you intend to sell our products (check all that apply)

Your own website Amazon Walmart Marketplace eBay TikTok Shop Other marketplaces (please list):

List all other marketplaces *

For each selected channel, please provide the following details:

Channel / Marketplace
Seller Name
Seller Feedback Rating
Storefront URL

Channel / Marketplace Details *

Certification & Signature

I certify that the information provided in this application is accurate and complete. I understand that submission of this application does not guarantee approval.

Authorized Signatory Name *

Title *

Date: *

Submission Instructions: Please submit this completed application along with any requested supporting documents to the designated contact or portal provided by our team.

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Reseller Application