Dealer Form that Batdorf Overwrote

Become A Dealer

"*" indicates required fields

Name*

First Last

Email*

Business Name*

Business Phone*

Website

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sales Tax Exempt Form/Reseller Certificate*

Accepted file types: jpg, gif, png, tiff, pdf, Max. file size: 50 MB.

Copy of Business License*

Accepted file types: jpg, gif, png, tiff, pdf, Max. file size: 50 MB.

All potential new accounts must completely fill out this form as well as submit a current copy of their business license and a completed sales tax exemption certificate. All new accounts are set up on a prepaid basis and a minimum order of $3000 is required for new accounts. Orders can be placed via PO sent to sales@powrtran.com