• 1

    Account Information

  • 2

    Company Information

  • 3

    Retail Channels

  • 4

    Business Type

Account Information

* First Name

* Last Name

* Phone Number

* E-mail Address


Company Information

*Company Name

*Years in Business

*Number of employees




*Shipping Address

*Billing Contact

*Accounting Email for Invoices

*Billing Address

*Business Number(Ein)

*Resale Permit/Tax ID Number

*Average Monthly Sales


Retail Channels

*Number of B&M retail locations

*Number of websites used for online sales

*Names of websites used for online sales

*Amazon Store name

*Ebay Store name

*Jet Store name

*Gunbroker store name


Business Type (Check all that apply)



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