Thank you for your interest in becoming one of our retailers!

Please complete the form below. Information provided will be kept confidential.

All fields are required.

RETAILER APPLICATION FORM

Company Name:
Store Name:
Store Address:
City:
Province:
Postal Code:
Store Phone #:
Fax #:
Email:
Business
License #:
Owner’s Name:
Owner’s Address:
City:
Province:
Postal Code:
Home Phone #:
Cell Phone #:
Is your store currently open?
If yes, how many years has it been established?
If no, when do you plan on opening?
How many store locations do you have?
Type of Store:
Merchandise:
Name 3 well-known brands that you carry or plan to carry:
Name of closest competing retailer(s) in your proximity and approx. distance:
Do you have a website? If yes, website address:
Which of our products are you interested in?
How did you hear about us?

Please note that our company has a very strict MSRP policy and does not allow the sale of it's product on auction sites such as eBay. 

Retailers who discount or sell on auction sites will not be shipped to again. In fairness to all retailers, we make every effort to enforce our MSRP.

By submitting this application, you agree on these terms.