Reseller Program Application

Name*

First NameLast Name

Legal Business Name*

DBA Business Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Full Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Full Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do You Have a Reseller Certificate?*

YesNo

Tax ID/EIN*

Do You Sell In Physical Locations (Retail Storefronts, Within a Mall, Permanent Kiosks)*

YesNo

If Yes, Please Provide the Number and Addresses for ALL Physical Locations

Physical Locations Include Store Fronts, Locations Within a Mall or permanent Kiosks

Channel of Trade*

Do You Have an E-Commerce Website?*

YesNo

If Yes, Please List Provide Links To All Websites Owned/Operated by You

Do You Maintain Stock On Hand and Fulfill All Orders? (Does Not Include Dropshipping to End Customer.*

YesNo

Do You Sell on Online Marketplaces Such as Amazon, Ebay, Etsy, Wal-Mart or Other Similar Websites?*

YesNoPlanning To

If Yes, Provide Direct Links to Your Online Storefront and/or Product Listings for Each Online marketplace On Which You Sell

THE LINKS MUST GO TO YOUR STOREFRONT OR LISTING NOT THE PLATFORM HOME PAGE!

Do You Currently Sell LitezAll or Kodiak Brand Products?*

YesNo

If Yes, List All Distributors From Whom You Currently Purchasing Products From

Are You Currently a Promier Customer?*

YesNoPlanning To Be

If Yes, Who Is Your Promier Sales Rep?

If No or Planning To Be, Have You Been In Communication With Anyone at Promier?

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.

NEW RESELLER PROGRAM APPLICATION