TePe Reseller Application Form

Reseller Application Form

We are pleased that you are interested in becoming a TePe reseller! Before we can process your information, please complete this application.
Business Information
Registered Legal Company Name:*
Industry:*
Resale Certificate:*
The number issued by your State
Tax ID #:*
Address:*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Website Address:*
Business Phone Number:*
How long have you been in business?*
Number of employees:*
Additional Comments:
Contact Information
Name:*

First NameLast Name
Job Title:*
Phone Number:*
Contact E-mail:*
example@example.com
Terms and Conditions Agreement

By filling out this form and providing your signature below you hereby agree to abide by the terms and conditions listed in the website.
Name:*
Job Title:*
Signature:*

Clear
Date:

MonthDayYear
Date
Disclaimer

Please note that completion of the Reseller Application along with providing required business information to TePe does not imply immediate approval as a TePe Reseller. All TePe Resellers must agree to and comply with TePe Terms & Conditions and Privacy Policy. Failure to comply with these policies may result in termination from the TePe Reseller Program.
Event Name:
Should be Empty:

Reseller Application Form