Reseller Application Form:
Thank you for your interest in becoming a reseller with Big Wei Battery BWB LiFePO4 Battery Products. Our retail partners are critical to helping us spread the BWB LiFePO4 Battery experiences to consumers across Australia.
Company Name:
*
What Is Your Company Website:
*
ex: www.abc123.com
Primary Company E-mail Contact:
*
example@example.com
Primary Contact Name
*
First Name
Last Name
Phone Number
*
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ABN
*
How Many Years Have You Been In Business?
*
Business Type:
*
How Did You Hear About Us?
*
Please Select
Newspaper
Internet
Magazine
Other (Please specify...)
Other?
*
Please let us know more about your business.
Will you be willing to recommend us?
Yes
Maybe
No
Please verify that you are human
*
Submit
Should be Empty: