Welcome Resellers!
To be in our reseller program, please
fax your below Reseller Account Application form to 909-781-5034 or email.
Email:
sales@hid-lights.com
Account Application Instructions:
1, Please complete as much info as you can below
2, Pleas fax this page along with a
cope of your business license/seller permit and owner's driver's license.
* Required field
|
Reseller Account Application
Form |
| Legal Business Name* |
|
| President/Owner* |
|
| Doing Business As* |
|
| Shipping/Billing Address* |
|
| Business Phone #* |
|
| Business Fax # |
|
| E-mail Address* |
|
| Business Website Address |
|
| Authorized Purchaser* |
|
| Date Business was founded |
|
| Length of time at this address* |
|
| Annual Sales
Income* |
|
| Items You are interested* |
|
| Quantities per item* |
|
|
