Reseller Application

Batteryboss.org accommodates distributors, trade professionals, and all other permitted resellers. Please complete the application below to access reseller pricing.

First Name*
Last Name*
Company Name
Phone Number*
Email Address*
Business Type*
- Corporation
- Sole Proprietor
- Other
Address*
Street Address Address Line 2 City State ZIP Code
W-9*
Resale Certificate*
Briefly describe your company's operations (e.g., "UPS system installation and maintenance")*

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