NEW - VENDOR APPLICATION

TAX ID# (FEIN or SSN):*

We will need copy of EIN letter

RESALE #:*

We will need copy of certificate

Name of Company/Firm (as shown on Federal Tax Return):*

Alternate Name, if applicable (DBA):

Name of Business Owner*

First Name

Last Name

Business Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Contact Person*

First Name

Last Name

Phone*

Email*

Company Website Address

Were you referred by a Tier Operator? If so, please include their name

Do you sell on Amazon?*

Yes No

Do you sell on Ebay?*

Yes No

By checking this box I understand that I'm not eligible to sell REDCON1 products on eCommerce platforms such as Amazon, eBay, Walmart.com, Costco, Facebook Marketplace, etc.

I UNDERSTAND THAT LISTING ANY REDCON1 PRODUCTS ON ANY ECOMMERCE PLATFORMS WILL VIOLATE THE VENDOR AGREEMENT.*

I understand this policy