New Partner Registration/Setup Form

This form is designed so that setting up a new partner goes smoothly and all paperwork is required before an account can be setup.

You are responsible for acquiring the forms and once you have all the forms, please scan each individually, label the file accordingly, upload and submit through this online process.

If you have any questions, suggest updates for the form or changes, please contact Roy.

Partner Tier

Partner Tier Partner (20%) Marketing Partner (25%)* Large Marketing Partner (30%) Distributor (35%)
If you have selected 'Large Marketing Partner" or 'Distributor', please include some details that would help us understand this relationship.

This will help qualify the customer based on volumes and/or market condition.
Check the forms you would like to Submit

Check the forms you would like to Submit Partner Application Net Terms Application Texas Reseller Certification Credit Card Authorization Form
Partner Application File Upload

Attach Files
Net Terms Application File Upload

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Texas Reseller Certification File Upload

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Credit Card Authorization Form Upload

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Partner Name Partner Name First Last
Partner's Company Name
Partner Address Partner Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Partner Phone Number
Partner's Email
Partner Website