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This application should only be used if your Federal Tax ID and Legal Business Name HAS NOT CHANGED

It appears you have never worked with 1SourceVideo before. Please click here to use the NEW Reseller Application form. Thank you!

1SourceVideo is always on the lookout for motivated companies that recognize the value of the manufacturers and products we bring to the video and animation marketplace. If you would like to become an authorized 1SourceVideo Reseller, please complete the following form. The submission of this application does not warrant or guarantee approval to become an authorized reseller for any of the manufacturers that 1SourceVideo represents. Once your application is submitted, it will undergo an approval process to verify whether your company meets and can sustain 1SourceVideo"s Reseller criteria. The review and decision process can take up to 15 days once all required documents are received. All applicants will be notified if you've been approved to become a reseller. This application is designed to obtain information about your company for Reseller approval. This information is strictly confidential, and will be used only in the alliance between 1SourceVideo and your company. Prior to submitting the form, you will be asked to attach the required documents.

Please do not start this application without the following required documents.

1. Federal/IRS SS4 confirmation of your Business Tax ID Number (EIN)

2. State Business Resale Permit/License/Registration/Certificate of Authority

3. Completed Resale Certificate for your state and all states you sell into

4. Current year's W9

5. Bank and Trade references

or for Canadian Resellers;

1. Business Number (GST/HST Form)

2. Corporation Number

Applicant Information

Applicant First Name

Last Name

Position in Company

Applicant E-mail

example@example.com

Main Contact Number

General Information

Company Name (Full Legal Name)

All references to the company name should be EXACTLY as it appears on the Federal SS4 & Tax Return docs.

Company DBA

Legal Address (On Your Fed SS4 + Tax Returns)

Legal Business Formation

Company Billing Address (If different than your Fed SS4 + Tax Returns Legal Address)

This must match the address listed on both the Federal TAX ID SS4, and the authorized State Resale LICENSE/PERMIT Certificate.

City, State Zip Code

Website Address

Company Contact Information

Owner's First Name

Owner's Last Name

Owner's Direct Phone Number

Owner's Mobile Number

Owner's E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Are there Multiple Owners?

Name

Title

Name

Title

Name

Title

CEO/President's First Name

CEO/President's Last Name

CEO/President's Direct Phone Number

CEO/President's Mobile Number

CEO/President's E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

CFO/Controller/Head of Accounting First Name

CFO/Controller/Head of Accounting Last Name

CFO/Controller/Head of Accounting Direct Phone Number

CFO/Controller/Head of Accounting Mobile Number

CFO/Controller/Head of Accounting E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Purchaser First Name

Purchaser Last Name

Purchaser Direct Phone Number

Purchaser Phone Mobile Number

Purchaser E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Sales Manager First Name

Sales Manager Last Name

Sales Manager Direct Phone Number

Sales Manager Phone Mobile Number

Sales Manager E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Sales Person First Name

Sales Person Last Name

Position

Sales Person Direct Phone Number

Sales Person Phone Mobile Number

Sales Person E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Sales Person First Name

Sales Person Last Name

Position

Sales Person Direct Phone Number

Sales Person Phone Mobile Number

Sales Person E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Sales Person First Name

Sales Person Last Name

Position

Sales Person Direct Phone Number

Sales Person Phone Mobile Number

Sales Person E-mail

example@example.com

Does this person Require a website login for pricing and purchasing information?

Which Region does your company represent

Proprietorship Information

Type of Business

Years in Business (Under Current Legal Business Name)

Number of Employees

What was your sales volume last fiscal year?

What was your top selling product last year?

Describe your geographic territory:

Have you or any of your affiliates filed bankruptcy?

If Bankruptcy was filed, what state and year?

Location of Business

Click below to download the Reseller Agreement.

1SourceVideo Reseller Agreement

Proof of Full Legal Business Name Federal/IRS SS4 confirmation of your Business Tax ID Number (EIN)

Select File

(eg. the IRS-issued SS-4 form confirming your Fed EIN tax ID number and legal name; and/or state business registration certificate)

State Business Resale Permit/License/Registration/Certificate of Authority

Select File

Completed Resale Certificate for your state and all states you sell into

Select File

Current year's W-9

Select File

Bank and Trade References

Select File

Business Number (GST/HST Form)

Corporation Number

1SourceVideo Reseller Agreement

Select File

Initials required on each page by Owner(s)/Principal(s)

By checking this box I understand that my application WILL be delayed if all of the above documents are not included

By checking this box I understand that the reseller agreement attached to this application can only be signed by the owner or president of the company in order to be accepted

Preferred payment method, for Portal setup.

Which 1SourceVideo Vendors suit your company profile?

Video Production

Lenses

Accessories

Expansion & Storage

Software

Lighting

* Please note: Blackmagic Design is not available through 1SourceVideo for Canadian Customers. Please contact sales@1sourcevideo.com for more information.

Please fill out which applications you are certified in by indicating the date of certification. You must be a certified reseller for at least one of the following software applications.

Apple - Date certified as ProVideo VAR or ASE Video (You must be listed on the Apple Website):

Blackmagic Design - Date certified to sell DaVinci Resolve (You must be listed on the BMD Website):

Assimilate - Date certified as an authorized Assimilate reseller (You must be listed on Assimilate Website);

Go Pro - Date certified as an authorized Go Pro reseller (You must be listed on the Go Pro Website):

Colorfront - Date certified as an authorized Colorfront reseller:

Adobe - Date certified as an authorized Adobe reseller (You must be listed on the Adobe Website):

Blackmagic design Reseller Application

In addition to the 1SourceVideo Reseller Application, please complete this Blackmagic design Reseller Application. Your 1SourceVideo Reseller Application and Blackmagic design Reseller Application will be sent to Blackmagic design for review. After review by both companies, you will be notified within 15 business days of your status (assuming that all necessary information has been submitted). If approved, you will be required by Blackmagic design to sign an Authorized Reseller Agreement. In addition to a few general housekeeping type statements, this agreement establishes a sales quota, and explains our strictly enforced MAP policy. Upon receipt of the signed Reseller Agreement, Blackmagic design will notify 1SourceVideo that your application has been approved. 1SourceVideo will then provide you with ordering instructions, payment term information, and shipping procedures. Thank you for your interest in becoming an authorized reseller of Blackmagic design products.

Number of Locations

Location 1 Address

Location 1 City

Location 1 State

Location 1 Zip

Location 1 Phone #

Location 1 Website Address

Do you have a Demo Area?

Location 2 Address

Location 2 City

Location 2 State

Location 2 Zip

Location 2 Phone #

Location 2 Website Address

Do you have a Demo Area?

If you have more than 2 offices, please provide address, phone, fax, and demo area information here:

Will your company ever require an SDK (Software Developer"s Kit)?

If yes, please indicate for what reason:

Do you have an online store?

The Address of online store

If yes...what Blackmagic Design products will be added to the store?

Do you Support:

Of the total number of employees, how many are salespeople and/or sales engineers?

DEALER AGREEMENT FOR AUTHORIZATION TO SELL DELKIN “BLACK” MEMORY CARDS

Delkin BLACK Memory Cards are intended to be profitable, high qualityproducts that are available exclusively through Camera Stores. With that goal in mind, we ask that all authorized resellers adhere to a few simple rules.

By signing this agreement and following the Delkin BLACK guidelines, your store will be listed and promoted as an Authorized Reseller.

Download and sign the Delkin Devices Agreement

Delkin Devices Agreement

Select File

Partner Marketing Opportunities

What marketing related activities will/would you participate in over the next 12 months?

Other

How will you train your staff to sell 1SourceVideo products?

Do you currently stock products in your storefront?

Reseller Request for Reinstatement