Legal Business Name *

Doing Business As (DBA) *

First Name *

Last Name *

Email *

Telephone No. *

Employer Identification Number (EIN) *

DUNS Number

Billing First Name *

Billing Last Name *

Billing Address 1 *

Billing Street Address 1

Billing Address 2

Suite, P.O. Box, Etc.

Billing City *

Select State *

Zip Code *

Do you have a reseller certificate? *

Resellers Certificate Copy

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

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Upload a copy now, or email to us prior to your first order

I want to access the Online B2B Reseller Portal *

View products at your price level, stock levels, and place orders 24/7.

Shipping Information

Shipping Account #

If you would like us to bill your corporate account - if not leave blank

Additional Shipping Info

If there are specific shipping instructions, please list them here.

Primary Shipping Address 1 *

Street Address Line 2

City *

State *

Zip Code *

Country *

Website URL *

Distribution Intent *

eCommerce
Brick & Mortar Location
Both

Do you sell in physical locations?

Retail storefront, kiosk, mall location, etc.

If yes, please provide the phone numbers and addresses for ALL locations

Do you sell on online marketplaces? *

Yes
No
Planning to

Amazon, Ebay, Etsy, Wal-Mart, etc?

Please provide URLs to online marketplaces

Links must go directly to YOUR storefront or product listing, not the platform homepage

Do you sell on Amazon? *

If Yes, Enter Your Amazon Seller ID / Token.

Please provide your Amazon Seller ID / Token.

Do you currently sell LitezAll® or Kodiak® brand products? *

If yes, list all distributors you currently purchase from

Do you maintain stock on hand and fulfill all orders? *

Does NOT include drop shipping to end customer

Are you currently a Promier customer? *

Yes
No
Planning to be

If yes, who is your Promier sales rep?

Primary Trade Channel *

If no or planning to be, have you been in communication with anyone at Promier?

Please give a summary of your business and general operation *

Promier Reseller Agreement and MAP Policy

Promier has updated its Reseller Agreement and MAP policy to provide protection to its network of authorized dealers to ensure each can continue to deliver the best customer experience without destructive price-based advertising.

To become an Authorized Dealer of LitezAll and Kodiak brand products from Promier, you must review and agree to our Reseller Agreement.Please download and review the Promier Reseller Agreement:

Download the Promier Reseller Agreement and MAP Policy

By checking the following box, you confirm that: you have read the Dealer Agreement; you understand its terms and conditions; you agree to be bound by such terms and conditions; and, you have the authority to bind the customer named above.

I Agree *

Upon submission, a Promier sales representative will contact you to discuss your needs and inform you of your approval status. Click the button below to submit your form.

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Reseller Program Application

Shipping Information